成年女性性激素六项检测在女性不孕症患者诊断中的价值分析

李汉煌+吴志军

[摘要]目的 探讨成年女性性激素六项对女性不孕症患者的诊断价值。方法 选取我院2016年1月～2017年1月的80名不孕癥女性患者作为观察组，另选择同期的80名成年健康女性作为对照组，比较两组的性激素六项水平。结果 整体水平分析显示，两组的FSH水平比较，差异无统计学意义（P>0.05）；观察组的LH、PRL、TESTO水平高于对照组，E2、P水平低于对照组，差异有统计学意义（P<0.05）。分期水平分析显示，观察组卵泡期的LH、FSH、PRL、TESTO、P水平高于对照组，E2水平低于对照组，差异有统计学意义（P<0.05）；观察组排卵期的LH、E2、TESTO、P水平低于对照组，差异有统计学意义（P<0.05）；观察组黄体期的LH、PRL水平高于对照组，TESTO、P水平低于对照组，差异有统计学意义（P<0.05）。结论 女性性激素分泌会直接影响到受孕状况，性激素六项检查对不孕症的诊断具有一定临床意义。

[关键词]成年女性；性激素；不孕症；诊断价值

[中图分类号] R446.11 [文献标识码] A [文章编号] 1674-4721（2017）06（c）-0121-03

[Abstract]Objective To investigate the diagnostic value of six-item sex hormone test of adult women in female patients with infertility.Methods A total of 80 women with infertility from January 2016 to January 2017 in our hosptial were selected as the observation group，another 80 healthy adult women were selected as the control group during the same period.The six items of sex hormones were compared between the two groups.Results According to the analysis of overall levels，there was no significant differences in the level of FSH between the two groups （P>0.05）.The levels of LH，PRL and TESTO in the observation group was higher than that in the control group，and the levels of E2 and P in the observation group was lower than that of the control group，with significant difference （P<0.05）.According to the analysis of stage levels，the levels of LH，FSH，PRL，TESTO and P in the follicular phase in the observation group was higher than that in the control group，and the level of E2 in the follicular phase in the observation group was lower than that in the control group，with significant difference （P<0.05）.The levels of LH，E2，TESTO and P in the ovulation period in the observation group was lower than that in the control group，with significant difference （P<0.05）.The levels of LH and PRL in the luteal phase in the observation group was higher than that in the control group，and the levels of TESTO and P in the luteal phase of the observation group was lower than that of the control group，with significant difference （P<0.05）.Conclusion Female sex hormone secretion directly affects the pregnancy status.Six-item sex hormone test in the diagnosis of infertility has a certain clinical significance.

[Key words] Adult women； Sex hormones； Infertility； Diagnostic value

不孕症是指婚后夫妻在正常性生活频率、未避孕情况下，2年未发生受孕的病症，患者临床症状大多为闭经、痛经、稀发月经或少精等，导致阴道分泌物增加、附件肿物、增厚以及压痛等情况，还有部分患者会出现毛发分布异常、乳房及分泌异常等症状[1-2]。随着我国社会的不断发展，生活节奏的加快，近年来，因各方面压力而出现内分泌失调，引发月经紊乱，从而导致不孕症的发生率逐年上升[3]，对社会发展和家庭和谐都造成了严重影响。虽然导致不孕症的因素众多，但其中内分泌紊乱是主要因素。随着医学技术的进步，对激素的检测水平也逐渐提高，性激素六项开始应用于临床检测[4]。但从女性不孕症方面，还缺乏一定的研究。本研究旨在探讨成年女性性激素六项对女性不孕症患者的诊断价值，现报道如下。

1资料与方法

1.1一般资料

选取我院2016年1月～2017年1月的80名不孕症女性患者作为观察组，另选择同期的80名成年健康女性作为对照组。观……