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目前,临床上用来测定排卵的方法主要有五种,即基础体温曲线,宫颈粘液检查,连续阴道涂片,内膜活检及放射免疫测定血浆孕激素等。但这些方法各有其不足之处。如基础体温,宫颈粘液及阴道涂片都需连续动态观察,血浆孕激素测定尽管能反映排卵后黄体功能,但受技术条件等限制不便推广。内膜活检虽准确但属有创伤性检查,手术操作给病人带来一定痛苦,不能多次重复测定。本文着重探讨双槽带鞘内膜细胞取样器取材,细胞学测定排卵的价值。材料和方法对象选择:1986年3月至1987年3月,在我院门诊妇产科手术室,对80例不孕症患者同时进行内膜吸引和内膜活检。这些妇女的年龄22～38岁,月经周期规则,近期无性激素使用史。取材时间平均在月经周期的第26±3天。双槽带鞘内膜细胞取样器:由塑料内管和外鞘组成,内管长约250mm,直径3mm,近端封闭,在封闭端末30mm一段内,对称反向开二个长10mm、宽
At present, there are mainly five methods for determining ovulation clinically, that is, basal body temperature curve, cervical mucus examination, continuous vaginal smear, endometrial biopsy and radioimmunoassay for plasma progesterone. However, these methods have their own shortcomings. Such as basal body temperature, cervical mucus and vaginal smears need continuous dynamic observation, although the determination of plasma progesterone ovulation after luteal function can be reflected, but limited by the technical conditions to promote inconvenience. Endometrial biopsy is accurate but a traumatic examination, surgical operation to the patient some pain, can not be repeated multiple determinations. This article focuses on double-tipped with intrathecal membrane sampler, cytological determination of ovulation value. Materials and methods Object selection: March 1986 to March 1987, in our hospital obstetrics and gynecology operation room, 80 cases of infertility patients with endometrial suction and endometrial biopsy. These women are 22 to 38 years of age, menstrual cycle rules, the recent history of the use of sex hormones. The average time of drawing in the menstrual cycle 26 ± 3 days. Double-tipped with intrathecal membrane cell sampler: the plastic tube and sheath composition, the inner tube length of about 250mm, diameter 3mm, closed at the end of the closed end of a 30mm section, the reverse symmetrical two open 10mm wide