AMH对自然妊娠的预测价值：系统评价和荟萃分析.pdfVIP

浙江大学硕士学位论文中文摘要

SROCAUC0.5927Q0.5698

自然妊娠因素组曲线下面积（）为，指数为；不存在

SROCAUC0.6042Q

其他已知影响自然妊娠因素组曲线下面积（）为，指数为

0.5786。敏感性分析结果提示荟萃分析结果具有稳健性。Deeks漏斗图未提示明显

发表偏倚。

1.AMH2.

结论：血清水平对自然妊娠预测价值较弱。在低龄女性和高龄女

性中，均未发现AMH对自然妊娠有较好的预测价值。3.不建议以预测自然生育

力为目的常规筛查AMH。单一AMH水平高低不能作为预测自然受孕能力高低的

依据。

关键词：AMH、自然妊娠、年龄、卵巢储备、预测价值、系统综述、荟萃分析

III

浙江大学硕士学位论文英文摘要

ThevalueofAnti-MullerianHormoneinthe

predictionofspontaneouspregnancy:asystematic

reviewandmeta-analysis

ZhejiangUniversityschoolofmedicineGynecologyandObstetric

CandidateChenxiLin

TutorRunjuZhang

Abstract

Objective:Performasystematicreviewanmeta-analysistoidentifywhether

AMHisapredictorofconceptioninfemaletryingtoconceivenaturallyonthebasisof

agestratification.

Method:ThestudywasperformeaccordingtothePRISMAguidelines.Pubmed,

TheCochraneLibraryanEmbasewerefullysearcheuptoAugust,2020tofin

studiesrelatetoAMHpredictingspontaneouspregnancy.Researchesmeetingthe

eligibilitycriteriawithextractabledatawereincludeinthismeta-analysis,antwo

authorsextractethedataseparately.Ifheterogeneityduetothresholeffectdidn’t

present,plotasummaryreceiveroperatingcharacteristiccurve(SROC),calculatethe

areaunderthecurve(AUC),theCochrane-Qindexanpoolsensitivities,specificities,

LRpositives,LRnegat