摘要
目的探究经阴道超声在年轻不孕症患者卵巢储备功能评估及排卵预测中的应用价值。方法以2020年3月至2021年12月温州医科大学附属台州妇女儿童医院88例年轻不孕症患者为研究对象,均采用经阴道超声检查。根据患者卵巢储备功能将其分为正常组(n=47)及异常组(n=41),分析超声指标对卵巢储备功能的诊断价值,并比较正常组不同月经周期的阴道超声指标。结果异常组卵巢体积及卵巢间质动脉收缩期最大血流速度(PSV)、舒张期最低血流速度(EDV)小于正常组(P<0.05);超声指标联合检测诊断不孕症患者卵巢储备功能的曲线下面积(AUC)大于各指标单独检测(P<0.05);卵巢体积<4.27 cm^(3)、PSV<10.62 cm/s、EDV<5.56 cm/s是影响不孕症患者卵巢储备功能的危险因素(P<0.05);不同月经周期患者的PSV、EDV、血流搏动指数(PI)及阻力指数(RI)比较,差异具有统计学意义(P<0.05);排卵期、黄体期的PSV、EDV大于黄体萎缩期及卵泡前期,RI、PI小于黄体萎缩期及卵泡前期(P<0.05);排卵期的PSV、EDV小于黄体期(P<0.05)。结论经阴道超声对年轻不孕症患者卵巢储备功能具有评估价值,且不同月经周期患者存在卵巢血流动力学差异,其可能有助于预测排卵。
Objective To explore the application value of transvaginal ultrasound in evaluating ovarian reserve function and predicting ovulation in young patients with infertility.Methods A total of 88 young patients with infertility in Taizhou Women and Children′s Hospital Affiliated to Wenzhou Medical University between March 2020 and December 2021 were enrolled as the research objects.All underwent transvaginal ultrasonography.They were divided into normal group(n=47)and abnormal group(n=41).The diagnostic value of ultrasound indexes for ovarian reserve function was analyzed.The vaginal ultrasound indexes among patients with different menstrual cycles in normal group were compared.Results The ovarian volume,peak systolic velocity(PSV)and end diastolic volume(EDV)of ovarian interstitial artery in abnormal group were lower than normal group(P<0.05).The area under the curve(AUC)of combined detection with all ultrasound indexes in the diagnosis of ovarian reserve function was greater than that of single index(P<0.05).Ovarian volume<4.27 cm^(3),PSV<10.62 cm/s and EDV<5.56 cm/s were risk factors of ovarian reserve function in infertility patients(P<0.05).There were significant differences in PSV,EDV,pulsatility index(PI)and resistance index(RI)among patients with different menstrual cycles(P<0.05).PSV and EDV in ovulation and luteal phases were greater than those in luteal atrophy and pre-follicular phases,while RI and PI were lower than those in luteal atrophy and pre-follicular phases(P<0.05).PSV and EDV in ovulation phase were lower than those in luteal phase(P<0.05).Conclusions Transvaginal ultrasound has evaluation value for ovarian reserve function in young patients with infertility.There are differences in ovarian hemodynamics among patients with different menstrual cycles,which may be beneficial to predict ovulation.
作者
陈丹燕
卢海燕
杨皓然
CHEN Danyan;LU Haiyan;YANG Haoran(Department of Ultrasound Imaging,Taizhou Women and Children′s Hospital Affiliated to Wenzhou Medical University,Taizhou 318000,Zhejiang,China;Department of Ultrasound,Luqiao Hospital,Enze Medical Center,Taizhou 318000,Zhejiang,China)
出处
《中国性科学》
2023年第5期112-115,共4页
Chinese Journal of Human Sexuality
关键词
阴道超声
不孕症
年轻患者
卵巢储备功能
排卵预测
Transvaginal ultrasound
Infertility
Young patient
Ovarian reserve function
Ovulation prediction
