摘要
目的:观察卵巢子宫内膜异位囊肿患者的彩色多普勒超声子宫动脉血流动力学检测结果。方法:选择荆州市第二人民医院2014年1月至2016年8月收治的73例卵巢子宫内膜异位囊肿患者,予以彩色多普勒超声测定患者手术前后子宫动脉血流指数,分析阻力指数(RI)值,及术后妊娠率。结果:术前,囊肿侧子宫动脉血流RI、PI、S/D均高于无囊肿侧子宫动脉,差异具有统计学意义(P <0. 05);术后囊肿侧子宫动脉血RI、PI、S/D均较术前下降,差异具有统计学意义(P <0. 05),与无囊肿侧术后子宫动脉血流比较,差异无统计学意义(P> 0. 05)。以RI <0. 8作为正常标准,术前无囊肿侧RI <0. 8者多于囊肿侧,差异具有统计学意义(P <0. 05);术后囊肿侧RI <0. 8者较术前增加,差异具有统计学意义(P <0. 05),和无囊肿侧术后RI <0. 8比较,差异无统计学意义(P> 0. 05)。43例不孕者术后有34例RI <0. 08,9例RI≥0. 8,妊娠率分别为82. 35%(28/34)和22. 22%(2/9),差异具有统计学意义(P <0. 05)。结论:观察卵巢子宫内膜异位囊肿患者彩色多普勒超声子宫动脉血流改变能够提示卵巢病变,并可指导术后妊娠,可作为此类患者影像学的首选诊断方式。
Objective： To observe the test results of uterine artery hemodynamics incolor doppler ultrasound with ovarian endometriosis cyst. Methods： 73 cases of patients with ovarian endometriosis cyst was from January2014 to August 2014,by color doppler ultrasound before and after surgery in patients with ovarian endometriosis cyst,analysis of resistance index（ RI） value,and postoperative pregnancy rate. Results： Before the operation,the RI,PI and S/D of uterine artery was higher than those without cystic uterine artery,the difference was statistically significant（ P〈0. 05）. The levels of RI,PI and S/D in the uterine artery was significantly lower than those before operation,the difference was statistically significant（ P〈0. 05）. after operation. RI 〈0. 8 was used as the normal standard,preoperative non-cystic side RI 〈0. 8 more than cyst side,there was statistically significant differences（ P〈0. 05）. After operation,the lateral RI 0. 8 was increased,the difference was not statistically significant（ P〈0. 05）,and the post-operative RI〈 0. 8 was not different bteween non-cystic side after surgery RI〈 0. 8,the difference was statistically significant（ P〈0. 05）. The 43 cases of infertility after 34 cases of RI〈 0. 08,34 cases were RI 〈0. 08,9 RI were greater than 0. 8,and the pregnancy rate respectively was 82. 35%（ 28/34） and 22. 22%（ 2/9）,and there was statistically significant difference（ P〈0. 05）. Conclusions： Observation the test results of uterine artery hemodynamics incolor doppler ultrasound with ovarian endometriosis cyst can prompt ovarian lesions,and can guide postoperative pregnancy,can be used as an imaging diagnosis way of choice for such patients.
作者
黄友平
郑定山
夏洪波
陈燕
HUANG Youping;ZHENG Dingshan;XIA Hongbo;CHEN Yan(Department of Ultrasound,Jingzhou Second People＇s Hospital,Jingzhou 434000,Hubei,China;College of Physics and Optoelectronics Engineering,Yangtze University,Jingzhou 434023,Hubei,China;Department of Obstetrics and Gynecology,Jingzhou Central Hospital,Jingzhou 434020,Hubei,China)
出处
《中国性科学》
2018年第10期71-74,共4页
Chinese Journal of Human Sexuality
基金
湖北省荆州市医疗卫生科技计划项目(2014043)
