性激素报告单分析(ppt)

单击此处编辑母版标题样式,单击此处编辑母版文本样式,第二级,第三级,第四级,第五级,*,如何解释性激素报告单,早卵泡期的正常值,E2,pg/ml,p,ng/ml,FSH,pg/ml,LH,miu/ml,PRL,ng/ml,T,ng/ml,均值,40.68,0.92,7.70,4.22,12.02,0.29,标准差,19.55,0.52,1.86,1.75,6.09,0.14,E2值一般为40pg/ml,P值,小于,1ng/ml,FSH值小于10pg/ml,FSH值大于LF值，,T值小于0.5ng/ml,PRL值小于30mg/ml.,排卵前峰值,E2,pg/ml,p,ng/ml,FSH,pg/ml,LH,miu/ml,PRL,ng/ml,T,ng/ml,均值,291.08,1.49,15.95,52.98,15.62,0.39,标准差,75.61,0.37,7.76,24.35,7.88,0.15,E2值升高时，LH值大小FSH,是卵泡发育成熟的标志。,若排卵前，E2值下降，FSH,值大小LH,则表示卵巢功能 差。,黄体期峰值,E2,pg/ml,p,ng/ml,均值,190.47,20.31,标准差,72.26,5.94,月经第24天抽血,E2,FSH,LH,PRL,T,122.12,3.32,2.23,4.66,0.43,E2,FSH,LH,PRL,T,52.45,6.57,4.67,8.23,0.36,E2,FSH,LH,PRL,T,113.54,28.43,5.72,15.57,0.24,E2,FSH,LH,PRL,T,15.43,16.41,8.76,2.54,0.18,提示残留卵泡囊肿,提示卵巢功能下降,提示卵巢功能下降，受孕率下降,ART时月经第24天抽血,E2,P,FSH,LH,PRL,T,55.57,0.73,8.51,3.65,16.25,0.25,E2,P,FSH,LH,PRL,T,67.62,3.41,7.77,5.32,14.57,0.43,E2,P,FSH,LH,PRL,T,142.63,7.89,3.13,0.32,46.76,0.36,提示卵泡提早发育,提示卵泡黄素化，应查B超,如果卵巢有一囊肿，血供丰富，查P,升高，考虑卵泡黄素化。,提示卵泡不破裂综合征，体温呈双相，黄体期短,闭经或不知哪个期抽血,E2,P,FSH,LH,PRL,T,18.41,0.13,2.58,1.21,86.21,0.19,E2,P,FSH,LH,PRL,T,10.31,0.11,3.25,0.12,6.71,0.13,E2,P,FSH,LH,PRL,T,13.42,0.14,55.12,37.57,18.71.,0.16,提示高泌乳素血症,提示下丘脑-垂体性闭经,提示卵巢储备功能下降,PCOS停经不知哪个期抽血,E2,P,FSH,LH,PRL,T,271.67,0.59,4.75,14.32,37.47,0.67,E2,P,FSH,LH,PRL,T,93.34,14.11,5.13,7.32,19.76,0.36,尿HCG（），提示有排卵，,测基础体温20天,尿HCG（），提示有排卵，,测基础体温10天,PCOS的性激素表现,E2,P,FSH,LH,PRL,T,31.57,0.21,7.51,2.68,16.25,0.21,E2,P,FSH,LH,PRL,T,42.54,0.11,8.13,7.32,19.76,0.78,E2,P,FSH,LH,PRL,T,61.67,0.41,11.75,16.32,14.57,0.23,E2,P,FSH,LH,PRL,T,160.20,0.12,5.67,5.14,33.04,0.43,若系停经60天抽血，则测基础体温20天,若系月经第3天抽血，则提示残留卵泡囊肿,若周期31天，现第14天抽血，则提示卵泡正常发育,若周期45天，现第27天抽血，则提示卵泡正常发育,E2,P,FSH,LH,PRL,T,85.23,0.14,3.24,3.21,21.02,0.14,若系停经70天抽血，则予黄体酮撤退,若系月经第5天抽血，则提示早卵泡期,若周期30天，现第11天抽血，则提示卵泡正在发育,若周期60天，现第37天抽血，则提示卵泡正在发育，测基础体温,E2,P,FSH,LH,PRL,T,185.04,0.33,12.16,16.17,4.0,0.5,若系停经53天抽血，则提示快排卵,若系月经第2天抽血，则提示残留卵泡囊肿或围排卵期出血，测基础体温14天,若系月经第30天抽血，则测体温20天,E2,P,FSH,LH,PRL,T,125.23,0.14,13.24,7.21,21.02,0.14,E2,P,FSH,LH,PRL,T,35.04,0.33,9.16,6.17,4.0,0.5,提示残留卵泡囊肿,正常,临床病例,E2,P,FSH,LH,PRL,T,173.1,10.3,0.9,0.3,36.31,0.69,27岁，初潮14岁，47天/40天10月，量中，G0P0，已婚3年，未避孕，因停经8,个月而就诊。,妇检阴性，抽血查性激素,处理：予黄体酮20mg/d,肌注3天，停药5天有出血,月经第2天再次抽血，抽血查FSH1.2mIu/mI,LH0.2mIu/mI,E2116.5pg/mI,T0.66ng/mI,予达英35治疗,该患者一直没查HCG,实际是一个异位妊娠患者,临床病例,E2,P,FSH,LH,PRL,T,261.7,0.6,0.8,0.1,36.31,0.36,E2,P,FSH,LH,PRL,T,187.2,1.2,0.1,22.41,0.31,22岁，初潮14岁，47天/30天，量中，G0P0,已婚3年，未避孕，近2年月经不规律，,415天/40天50天，而就诊。,妇检阴性，B超：子宫双附件阴性，抽血查性激素,处理：予黄体酮20mg/d,，肌注3天，停药出血5天干净，月经第2天再次抽血,B超：子宫双附件阴性，无大,卵泡，小卵泡710个,定期孕激素撤退2年，停药无效,抽血查性激素类似,该患者实际是一个卵巢肿瘤患者,