多囊卵巢流产需要做哪些检查呢?What examination does polycystic ovary Miscarriage need to do?
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- 作者:xjat
- 更新日期:2019-09-06 07:42
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陈凤林教授指出多囊卵巢流产除了做流产的特异检查如抗胚胎抗体,动态造影(怀孕后动态血HCG和孕酮)的检查方法外,还需要做的检查如下:Professor Chenfenglin pointed out that in addition to the special examination of Miscarriage such as anti-embryo a
陈凤林教授指出多囊卵巢流产除了做流产的特异检查如抗胚胎抗体,动态造影(怀孕后动态血HCG和孕酮)的检查方法外,还需要做的检查如下:Professor Chenfenglin pointed out that in addition to the special examination of Miscarriage such as anti-embryo antibodies and dynamic imaging(dynamic blood HCG and progesterone after pregnancy), the following tests are required:
1、基础内分泌测定:激素六项。基础内分泌是指既无卵泡也无黄体的基础状态,月经规律者应该是月经的3-5天,还要保证近1个月没有用过激素药物(雌孕雄激素,促排卵药物等)。月经不规律或不能确定时间者可由资深的医师来判断。
1, basic endocrine determination: six hormones. The basic endocrine refers to the basic state of neither follicle nor Corpus luteum. Menstrual regularity should be 3-5 days of menstruation, and it is also necessary to ensure that hormone drugs(female pregnancy androgens, ovulation drugs, etc.) have not been used in the past 1 month. Menstruation is irregular or can not be determined by the senior doctor to judge.
2、四维彩超检查:卵巢增大,包膜回声增强,内有多个无回声区,即呈“项链征”连续监测未见主导卵泡发育及排卵迹象。
2, four-dimensional color super-examination: ovarian enlargement, envelope echo enhancement, there are a number of non-echo areas, that is, "necklace sign" continuous monitoring of no dominant follicle development and ovulation signs.
3、电子宫腹腔镜检查:排除是否合并子宫纵膈与幼稚子宫,并对卵巢进行治疗。
3, Electronic Palace Laparoscopic Examination: Exclude whether to merge the uterine mediastinal and infantile uterus, and treat the ovary.
4、测胰岛素、血糖或75g糖耐量测定,以排除有无胰岛素抵抗。
4, insulin, blood sugar or 75g sugar tolerance measurement to exclude insulin resistance.
5、查泌乳素,以排除是否合并高泌乳素血症。还应查脂肪代谢相关检查、皮质醇、17-羟基酮等。
5, check the lactocin to rule out whether to merge hyperlipidemia. Adipose metabolization-related tests, cortisol, 17-hydroxyketone, etc. should also be investigated.
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