国际生殖健康/计划生育 ›› 2017, Vol. 36 ›› Issue (4): 300-304.

• 综述 • 上一篇    下一篇

影响临床血清AMH检测结果的因素分析

王荟,胡蓉   

  1. 750004  银川,宁夏医科大学(王荟);宁夏医科大学总医院生殖中心(胡蓉)
  • 收稿日期:2017-04-07 修回日期:2017-06-14 出版日期:2017-07-15 发布日期:2017-07-15
  • 通讯作者: 胡蓉,E-mail:hr7424@126.com E-mail:hr7424@126.com
  • 基金资助:
    国家自然科学基金(81660257);宁夏自然科学基金重点项目(NC16125);宁夏回族自治区领军人才项目(2016);宁夏回族自治区留学人员创新项目(2016);2015年宁夏研究生教育创新计划项目(NXYC201511)

Analysis of Factors Affecting AMH Test

WANG Hui,HU Rong   

  1. Ningxia Medical University,Yinchuan 750004,China(WANG Hui);Reproductive Center,General Hospital of Ningxia Medical University,Yinchuan 750004,China(HU Rong)
  • Received:2017-04-07 Revised:2017-06-14 Published:2017-07-15 Online:2017-07-15
  • Contact: HU Rong,E-mail:hr7424@126.com E-mail:hr7424@126.com

摘要: 抗苗勒管激素(AMH)的检测在辅助生殖领域意义重大,除了评估卵巢储备功能之外,AMH水平还能预测卵巢反应性,为临床医生制定个体化治疗方案提供重要依据,从而降低卵巢过度刺激综合征(OHSS)的发生率,提高获卵率。目前临床检测血清AMH主要基于酶联免疫吸附测定法(ELISA),经过二十余年的发展,AMH检测已经由手工ELISA发展到全自动ELISA,再到电化学发光法,试剂也经历了几代的变更,无论是不同的方法和试剂,还是相同方法、不同试剂,对AMH的检测效能都存在差异。相同方法相同试剂检测血清AMH,规避了因方法和试剂所导致的检测差异,那么影响ELISA检测血清AMH结果的主要因素就是实验因素中的样本因素。除此之外,一些非实验因素也会影响AMH检测结果的客观性,如:卵巢功能、月经周期、垂体降调及促排卵等。从实验因素和非实验因素两大方面就临床检测AMH的影响因素进行综述。

关键词:  抗苗勒管激素, 酶联免疫吸附测定, 诊断技术, 内分泌, 生育力, 生殖技术, 辅助

Abstract: It is important to assay anti-Müllerian hormone (AMH) in the field of assisted reproduction. AMH level can be used to assess the ovarian reserve function, and to predict ovarian response, which provides clinicians the basis to develop an individual treatment so as to reduce the ovarian hyperstimulation syndrome (OHSS) rate and to raise the oocyte-obtained rate. With 20 years′ development, AMH test has been developed from the manual ELISA, the automated ELISA, to the electrochemical luminescence method, and the test reagents have also undergone several generations of development. There are differences in the efficiency of AMH test in different methods and reagents, or the same method and different reagents. If the same method and reagent were used, the main factor of the AMH test differences should be the sample itself. In addition, some non-experimental factors could affect the objectivity of AMH test, such as ovarian function, menstrual cycle, pituitary tone, ovulation and so on. This article summarized those experimental factors and non-experimental factors related to AMH test.

Key words:  Anti-Mullerian hormone, Enzyme-linked immunosorbent assay, Diagnostic techniques, endocrine, Fertility, Reproductive techniques, assisted