评估不孕症患者的卵巢功能:抗勒氏激素和血管生成素样蛋白8的联合诊断效用。

IF 1.7 4区 医学 Q3 ENDOCRINOLOGY & METABOLISM
Gynecological Endocrinology Pub Date : 2025-12-01 Epub Date: 2025-07-20 DOI:10.1080/09513590.2025.2530568
Chongbo Du, Na Wang, Xiaowen Ma, Yanping Feng, Fang Liu, Yandong Deng, Xiaopu Xie, Yuxiao Zhang
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引用次数: 0

摘要

背景:本研究旨在探讨抗勒氏激素(AMH)联合血管生成素样蛋白8 (ANGPTL8)在评价不孕症患者卵巢功能中的价值。方法:选取2023年1月至2024年7月在我院就诊的213例不孕症患者。经阴道彩色多普勒超声评估窦卵泡计数和卵巢储备。将患者分为对照组(116例卵巢储备功能正常)和研究组(97例卵巢储备功能下降)。检测所有患者血清AMH、ANGPTL8、性激素水平,比较各组结果,分析综合评估的价值。结果:对照组AMH为(4.44±2.36)ng/ml, ANGPTL8为(17.81±7.79)ng/ml,雌二醇(E2)为(37.21±17.78)pg/ml。研究组AMH为(0.64±0.61)ng/ml, ANGPTL8为(12.04±5.04)ng/ml, E2为(32.80±10.10)pg/ml。研究组患者AMH、ANGPTL8、E2水平明显降低(p)。结论:AMH、ANGPTL8联合检测对评估不孕症患者卵巢功能有重要价值。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Evaluating ovarian function in infertile patients: the combined diagnostic utility of anti-müllerian hormone and angiopoietin-like protein 8.

Background: This study aims to explore the value of anti-Müllerian hormone (AMH) in combination with angiopoietin-like protein 8 (ANGPTL8) in evaluating the ovarian function of infertile patients.

Methods: A total of 213 infertile patients who sought treatment in our hospital from January 2023 to July 2024 were included. Transvaginal color Doppler ultrasound assessed antral follicle count and ovarian reserve. Patients were divided into a0 control group (116 cases with normal ovarian reserve) and a research group (97 cases with decreased ovarian reserve). Serum levels of AMH, ANGPTL8, and sex hormones were measured for all patients, and results were compared between groups to analyze the combined assessment's value.

Results: In the control group, AMH levels were (4.44±2.36) ng/ml, ANGPTL8 (17.81±7.79) ng/ml, and estradiol (E2) (37.21±17.78) pg/ml. In the research group, AMH was (0.64±0.61) ng/ml, ANGPTL8 (12.04±5.04) ng/ml, and E2 (32.80±10.10) pg/ml. The research group showed significantly lower AMH, ANGPTL8, and E2 levels (P<0.05) and higher FSH and LH levels (P<0.001). The combined AMH and ANGPTL8 assessment demonstrated a sensitivity of 94.0%, specificity of 95.9%, and an area under the curve of 0.988.

Conclusion: The combined assessment of AMH and ANGPTL8 holds significant value in evaluating ovarian function in infertile patients.

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来源期刊
Gynecological Endocrinology
Gynecological Endocrinology 医学-妇产科学
CiteScore
4.40
自引率
5.00%
发文量
137
审稿时长
3-6 weeks
期刊介绍: Gynecological Endocrinology , the official journal of the International Society of Gynecological Endocrinology, covers all the experimental, clinical and therapeutic aspects of this ever more important discipline. It includes, amongst others, papers relating to the control and function of the different endocrine glands in females, the effects of reproductive events on the endocrine system, and the consequences of endocrine disorders on reproduction
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