性激素報(bào)告單分析課件

如何解釋性激素報(bào)告單如何解釋性激素報(bào)告單性激素報(bào)告單分析課件早卵泡期的正常值E2pg/mlpng/mlFSHpg/mlLHmiu/mlPRLng/mlTng/ml均值40.680.927.704.2212.020.29標(biāo)準(zhǔn)差19.550.521.861.756.090.14E2值一般為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.早卵泡期的正常值E2pFSHPRLT均值40.680.92排卵前峰值E2pg/mlpng/mlFSHpg/mlLHmiu/mlPRLng/mlTng/ml均值291.081.4915.9552.9815.620.39標(biāo)準(zhǔn)差75.610.377.7624.357.880.15E2值升高時(shí)，LH值大小FSH是卵泡發(fā)育成熟的標(biāo)志。若排卵前，E2值下降，F(xiàn)SH值大小LH,則表示卵巢功能差。排卵前峰值E2pFSHPRLT均值291.081.4915黃體期峰值E2pg/mlpng/ml均值190.4720.31標(biāo)準(zhǔn)差72.265.94黃體期峰值E2pg/mlpng/ml均值190.4720.3月經(jīng)第2－4天抽血E2FSHLHPRLT122.123.322.234.660.43E2FSHLHPRLT52.456.574.678.230.36E2FSHLHPRLT113.5428.435.7215.570.24E2FSHLHPRLT15.4316.418.762.540.18提示殘留卵泡囊腫提示卵巢功能下降提示卵巢功能下降，受孕率下降月經(jīng)第2－4天抽血E2FSHLHPRLT122.123.32ART時(shí)月經(jīng)第2－4天抽血E2PFSHLHPRLT55.570.738.513.6516.250.25E2PFSHLHPRLT67.623.417.775.3214.570.43E2PFSHLHPRLT142.637.893.130.3246.760.36提示卵泡提早發(fā)育提示卵泡黃素化，應(yīng)查B超如果卵巢有一囊腫，血供豐富，查P升高，考慮卵泡黃素化。提示卵泡不破裂綜合征，體溫呈雙相，黃體期短ART時(shí)月經(jīng)第2－4天抽血E2PFSHLHPRLT55.57閉經(jīng)或不知哪個(gè)期抽血E2PFSHLHPRLT18.410.132.581.2186.210.19E2PFSHLHPRLT10.310.113.250.126.710.13E2PFSHLHPRLT13.420.1455.1237.5718.71.0.16提示高泌乳素血癥提示下丘腦-垂體性閉經(jīng)提示卵巢儲(chǔ)備功能下降閉經(jīng)或不知哪個(gè)期抽血E2PFSHLHPRLT18.410.1PCOS停經(jīng)不知哪個(gè)期抽血E2PFSHLHPRLT271.670.594.7514.3237.470.67E2PFSHLHPRLT93.3414.115.137.3219.760.36尿HCG（－），提示有排卵，測(cè)基礎(chǔ)體溫20天尿HCG（－），提示有排卵，測(cè)基礎(chǔ)體溫10天PCOS停經(jīng)不知哪個(gè)期抽血E2PFSHLHPRLT271.6PCOS的性激素表現(xiàn)E2PFSHLHPRLT31.570.217.512.6816.250.21E2PFSHLHPRLT42.540.118.137.3219.760.78E2PFSHLHPRLT61.670.4111.7516.3214.570.23PCOS的性激素表現(xiàn)E2PFSHLHPRLT31.570.2E2PFSHLHPRLT160.200.125.675.1433.040.43若系停經(jīng)60天抽血，則測(cè)基礎(chǔ)體溫20天若系月經(jīng)第3天抽血，則提示殘留卵泡囊腫若周期31天，現(xiàn)第14天抽血，則提示卵泡正常發(fā)育若周期45天，現(xiàn)第27天抽血，則提示卵泡正常發(fā)育E2PFSHLHPRLT160.200.125.675.14E2PFSHLHPRLT85.230.143.243.2121.020.14若系停經(jīng)70天抽血，則予黃體酮撤退若系月經(jīng)第5天抽血，則提示早卵泡期若周期30天，現(xiàn)第11天抽血，則提示卵泡正在發(fā)育若周期60天，現(xiàn)第37天抽血，則提示卵泡正在發(fā)育，測(cè)基礎(chǔ)體溫E2PFSHLHPRLT85.230.143.243.212E2PFSHLHPRLT185.040.3312.1616.174.00.5若系停經(jīng)53天抽血，則提示快排卵若系月經(jīng)第2天抽血，則提示殘留卵泡囊腫或圍排卵期出血，測(cè)基礎(chǔ)體溫14天若系月經(jīng)第30天抽血，則測(cè)體溫20天E2PFSHLHPRLT185.040.3312.1616.E2PFSHLHPRLT125.230.1413.247.2121.020.14E2PFSHLHPRLT35.040.339.166.174.00.5提示殘留卵泡囊腫正常E2PFSHLHPRLT125.230.1413.247.2臨床病例E2PFSHLHPRLT173.110.30.90.336.310.6927歲，初潮14歲，4－7天/40天－10月，量中，G0P0，已婚3年，未避孕，因停經(jīng)8個(gè)月而就診。婦檢陰性，抽血查性激素處理：予黃體酮20mg/d,肌注3天，停藥5天有出血月經(jīng)第2天再次抽血，抽血查FSH1.2mIu/mI,LH0.2mIu/mI,E2116.5pg/mI,T0.66ng/mI予達(dá)英35治療該患者一直沒(méi)查HCG,實(shí)際是一個(gè)異位妊娠患者臨床病例E2PFSHLHPRLT173.110.30.90.臨床病例E2PFSHLHPRLT261.70.60.80.136.310.36E2PFSHLHPRLT187.21.20.122.410.3122歲，初潮14歲，4－7天/30天，量中，G0P0,已婚3年，未避孕，近2年月經(jīng)不規(guī)律，4－15天/40天－50天，而就診。婦檢陰性，B超：子宮雙附件陰性，抽血查性激素處理：予黃體酮20mg/d,，肌注3天，停藥出血5天干凈，月經(jīng)第2天再次抽血B超：子宮雙附件陰性，無(wú)大卵泡，小卵泡7－10個(gè)定期孕激素撤退2年，停藥無(wú)效抽血查性激素類似該患者實(shí)際是一個(gè)卵巢腫瘤患者臨床病例E2PFSHLHPRLT261.70.60.80.1性激素報(bào)告單分析課件如何解釋性激素報(bào)告單如何解釋性激素報(bào)告單性激素報(bào)告單分析課件早卵泡期的正常值E2pg/mlpng/mlFSHpg/mlLHmiu/mlPRLng/mlTng/ml均值40.680.927.704.2212.020.29標(biāo)準(zhǔn)差19.550.521.861.756.090.14E2值一般為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.早卵泡期的正常值E2pFSHPRLT均值40.680.92排卵前峰值E2pg/mlpng/mlFSHpg/mlLHmiu/mlPRLng/mlTng/ml均值291.081.4915.9552.9815.620.39標(biāo)準(zhǔn)差75.610.377.7624.357.880.15E2值升高時(shí)，LH值大小FSH是卵泡發(fā)育成熟的標(biāo)志。若排卵前，E2值下降，F(xiàn)SH值大小LH,則表示卵巢功能差。排卵前峰值E2pFSHPRLT均值291.081.4915黃體期峰值E2pg/mlpng/ml均值190.4720.31標(biāo)準(zhǔn)差72.265.94黃體期峰值E2pg/mlpng/ml均值190.4720.3月經(jīng)第2－4天抽血E2FSHLHPRLT122.123.322.234.660.43E2FSHLHPRLT52.456.574.678.230.36E2FSHLHPRLT113.5428.435.7215.570.24E2FSHLHPRLT15.4316.418.762.540.18提示殘留卵泡囊腫提示卵巢功能下降提示卵巢功能下降，受孕率下降月經(jīng)第2－4天抽血E2FSHLHPRLT122.123.32ART時(shí)月經(jīng)第2－4天抽血E2PFSHLHPRLT55.570.738.513.6516.250.25E2PFSHLHPRLT67.623.417.775.3214.570.43E2PFSHLHPRLT142.637.893.130.3246.760.36提示卵泡提早發(fā)育提示卵泡黃素化，應(yīng)查B超如果卵巢有一囊腫，血供豐富，查P升高，考慮卵泡黃素化。提示卵泡不破裂綜合征，體溫呈雙相，黃體期短ART時(shí)月經(jīng)第2－4天抽血E2PFSHLHPRLT55.57閉經(jīng)或不知哪個(gè)期抽血E2PFSHLHPRLT18.410.132.581.2186.210.19E2PFSHLHPRLT10.310.113.250.126.710.13E2PFSHLHPRLT13.420.1455.1237.5718.71.0.16提示高泌乳素血癥提示下丘腦-垂體性閉經(jīng)提示卵巢儲(chǔ)備功能下降閉經(jīng)或不知哪個(gè)期抽血E2PFSHLHPRLT18.410.1PCOS停經(jīng)不知哪個(gè)期抽血E2PFSHLHPRLT271.670.594.7514.3237.470.67E2PFSHLHPRLT93.3414.115.137.3219.760.36尿HCG（－），提示有排卵，測(cè)基礎(chǔ)體溫20天尿HCG（－），提示有排卵，測(cè)基礎(chǔ)體溫10天PCOS停經(jīng)不知哪個(gè)期抽血E2PFSHLHPRLT271.6PCOS的性激素表現(xiàn)E2PFSHLHPRLT31.570.217.512.6816.250.21E2PFSHLHPRLT42.540.118.137.3219.760.78E2PFSHLHPRLT61.670.4111.7516.3214.570.23PCOS的性激素表現(xiàn)E2PFSHLHPRLT31.570.2E2PFSHLHPRLT160.200.125.675.1433.040.43若系停經(jīng)60天抽血，則測(cè)基礎(chǔ)體溫20天若系月經(jīng)第3天抽血，則提示殘留卵泡囊腫若周期31天，現(xiàn)第14天抽血，則提示卵泡正常發(fā)育若周期45天，現(xiàn)第27天抽血，則提示卵泡正常發(fā)育E2PFSHLHPRLT160.200.125.675.14E2PFSHLHPRLT85.230.143.243.2121.020.14若系停經(jīng)70天抽血，則予黃體酮撤退若系月經(jīng)第5天抽血，則提示早卵泡期若周期30天，現(xiàn)第11天抽血，則提示卵泡正在發(fā)育若周期60天，現(xiàn)第37天抽血，則提示卵泡正在發(fā)育，測(cè)基礎(chǔ)體溫E2PFSHLHPRLT85.230.143.243.212E2PFSHLHPRLT185.040.3312.1616.174.00.5若系停經(jīng)53天抽血，則提示快排卵若系月經(jīng)第2天抽血，則提示殘留卵泡囊腫或圍排卵期出血，測(cè)基礎(chǔ)體溫14天若系月經(jīng)第30天抽血，則測(cè)體溫20天E2PFSHLHPRLT185.040.3312.1616.E2PFSHLHPRLT125.230.1413.247.2121.020.14E2PFSHLHPRLT35.040.339.166.174.00.5提示殘留卵泡囊腫正常E2PFSHLHPRLT125.230.1413.247.2臨床病例E2PFSHLHPRLT173.110.30.90.336.310.6927歲，初潮14歲，4－7天/40天－10月，量中，G0P0，已婚3年，未避孕，因停經(jīng)8個(gè)月而就診。婦檢陰性，抽血查性激素處理：予黃體酮20mg/d,肌注3天，停藥5天有出血月經(jīng)第2天再次抽血，抽血查FSH1.2mIu/mI,LH0.2mIu/mI,E2116.5pg/mI,T0.66ng/mI予達(dá)英35治療該患者一直沒(méi)查HCG,實(shí)際是一個(gè)異位妊娠患者臨床病例E2PFSHLHPRLT173.110.30.90.臨床病例E2PFSHLHPRLT261.70.6