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目的了解卵巢子宫内膜异位囊肿对子宫动脉血流动力学的影响,评估其血流动力学改变在不孕症发病机制中的作用。方法选择卵巢子宫内膜异位囊肿患者48例,通过彩色多普勒测量术前、术后的双侧子宫动脉血流指数,对所测数据进行统计学分析。结果 (1)术前囊肿侧的子宫动脉血流指数与无囊肿侧相比,差异有统计学意义;(2)术前囊肿侧的子宫动脉血流指数与术后对比,差异有统计学意义,且血流指数恢复正常者妊娠概率增大。结论应用彩色多普勒超声监测卵巢子宫内膜异位囊肿患者子宫动脉的血流动力学变化,评估术后子宫动脉血流的恢复情况,对指导术后妊娠有临床价值。
Objective To investigate the effects of ovarian endometriosis on the hemodynamics of uterine arteries and evaluate the role of hemodynamic changes in the pathogenesis of infertility. Methods Forty-eight patients with ovarian endometriosis were selected, and the data of the uterine arterial blood flow were measured before and after operation by color Doppler. Results (1) The preoperative cyst uterine artery blood flow index compared with non-cyst side, the difference was statistically significant; (2) preoperative cyst uterine artery blood flow index and postoperative contrast, the difference was statistically significant , And the blood flow index returned to normal probability of pregnancy increased. Conclusion The color Doppler ultrasound monitoring of uterine artery in patients with ovarian endometriosis hemodynamic changes to assess the recovery of postoperative uterine artery blood flow, the guidance of postoperative pregnancy has clinical value.