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卵泡不能够正常的生长及排出,是不孕症常见的原因。我院自1996—1998年6月对127例不孕症患者进行月经周期中卵泡的动态观察,报道如下。 1 资料与方法 1.1 资料 本组127例均为门诊病人,年龄25～40岁。不孕症时间为2～9年,有正常性生活,未避孕。男方泌尿系检查,并作精液分析,排除男方原因所致不孕。 1.2 方法 采用ALoka SSD—256型超声诊断仪。探头频率3.5 MHZ,取仰卧位,充盈膀胱,在下腹部耻骨联合上方多面探查,测量子宫大小,观察形态,在宫角水平侧探头沿着输卵管探测两侧卵巢,记录图像及卵泡大小、形态有无异常,冻结图像。正常排卵大约在月经中期,因个体差异较大,我们根据患者月经情况,一般从月经来潮第7～8 d开始超声波监测,当卵泡直径<10 mm时,可每3日监测一次;当卵泡直径达10～15 mm时,每2日监测一次;当卵泡直径>15 mm时,每日监视一次,直到排卵。
Follicles can not be normal growth and discharge, is a common cause of infertility. Our hospital from 1996 to June 1998 127 cases of infertility in the menstrual cycle in the follicular dynamic observation, reported as follows. 1 Materials and Methods 1.1 Materials The group of 127 patients were outpatients, aged 25 to 40 years. Infertility time is 2 to 9 years, with normal sex life, not contraception. Male urinary tract examination, and for semen analysis, excluding infertility caused by the man. 1.2 Methods ALoka SSD-256 ultrasonic diagnostic apparatus. Probe frequency of 3.5 MHZ, supine position, filled the bladder in the lower abdomen suprapubic joint exploration above the surface, measuring the size of the uterus, observe the morphology of the probe in the cornual horns side of the oviduct along the ovary detection, image recording and follicular size, morphology Abnormal, freeze the image. Normal ovulation in the mid-menstrual period, due to individual differences, according to the patient’s menstrual conditions, usually from the menstrual cramps 7 to 8 d began to monitor ultrasound when the follicle diameter <10 mm, once every 3 days monitoring; when the follicle diameter Monitoring up to 10-15 mm every 2 days; when follicle diameter> 15 mm, monitoring once daily until ovulation.