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目的探讨经阴道超声监测不孕患者的卵泡发育、卵巢血流灌注及子宫内膜生长的情况。方法回顾性分析我院198例不孕妇女,并选取40例正常妇女作为对照。从患者月经周期第8 d起开始监测卵泡发育情况及卵巢血流灌注,同时记录子宫内膜厚度及形态结果。并根据超声的图像特征判断卵泡的成熟度和是否排卵,并观察子宫内膜与卵巢血流灌注和卵泡生长之间的关系。结果对照组各个时期的卵泡发育情况均明显好于不孕组(P<0.05),对照组各个时期的RI值及S/D值均明显低于不孕组(P<0.05)。卵泡大小与卵巢血流灌注成正相关。对照组的子宫内膜厚度要低于原发性不孕组,而高于继发性不孕组;对照组卵泡发育情况要好于不孕组。结论经阴道超声监测卵泡发育情况、卵巢血流灌注及子宫内膜生长的情况,为临床诊治提供了科学依据,提高不孕症患者受孕机率。
Objective To investigate the relationship between transvaginal ultrasound monitoring of follicular development, ovarian perfusion and endometrial growth in infertile women. Methods A retrospective analysis of 198 cases of infertile women in our hospital, and selected 40 normal women as a control. From the patient’s menstrual cycle began monitoring the follicular development on the 8th and ovarian perfusion, while recording the endometrial thickness and morphological results. According to the image characteristics of the ultrasound to determine the maturity of follicles and ovulation, and observe the relationship between endometrium and ovarian perfusion and follicular growth. Results The follicular development in control group was significantly better than that in infertility group (P <0.05). The RI and S / D values in control group were significantly lower than those in infertility group (P <0.05). Follicle size is positively correlated with ovarian perfusion. The endometrial thickness of the control group was lower than the primary infertility group, but higher than the secondary infertility group; the control group follicular development was better than the infertility group. Conclusion Transvaginal ultrasonography to monitor follicular development, ovarian perfusion and endometrial growth, provide a scientific basis for clinical diagnosis and treatment to improve the chances of infertility conception.