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目的：评价促排卵治疗的疗效。方法：对１４２ 例排卵功能障碍者，根据情况分５组，通过三步个体化方案，５种诱导排卵方法治疗３９８个周期，同时采用Ｂ超监测排卵。结果：总排卵率８１．９１％ （３２６／３９８），临床妊娠率４２．９６％ （６１／１４２），各组促排卵效果相近。卵巢过度刺激综合征ＯＨＳＳ发生率４．２７％ （１７／３９８）。结论：对由于各种内分泌原因引起的排卵障碍者，根据不同情况选择个体化促排卵方案，可提高促排卵的成功率，Ｂ超监测排卵泡生长情况，可指导调整用药，预防并发症的发生。
Objective: To evaluate the efficacy of ovulation induction therapy. Methods: 142 cases of ovulation dysfunction were divided into 5 groups according to the situation. Three steps of individualized scheme and 5 methods of ovulation induction were used to treat 398 cycles. B-ultrasound was used to monitor the ovulation. Results: The total ovulation rate was 81.91% (326/398), the clinical pregnancy rate was 42.96% (61/142). The ovulation induction effect was similar in all groups. The incidence of OHSS was 4.27% (17/398) in ovarian hyperstimulation syndrome. CONCLUSIONS: Because of various endocrine causes of ovulation disorders, depending on the circumstances of individualized ovulation induction program can increase the success rate of ovulation induction, B-monitoring follicular growth, can guide the adjustment medication to prevent the occurrence of complications .