摘要
目的探讨盆腔炎治疗仪结合低频神经肌肉电刺激对薄型子宫内膜不孕症患者子宫内膜容受性及妊娠结局的影响。方法选取2020年1月至2021年6月广西壮族自治区生殖医院收治的96例薄型子宫内膜不孕症患者作为研究对象,采用随机数字表法分为对照组和观察组,各48例。对照组予以低频电刺激治疗,观察组予以盆腔炎治疗仪结合低频电刺激治疗。治疗后,测定两组子宫内膜厚度、子宫内膜容积、子宫内膜形态分型以及血流分型和血流动力学参数,统计两组治疗后12个月内妊娠成功率。结果观察组治疗后子宫内膜厚度、子宫内膜容积较对照组大(P<0.05);子宫内膜形态分型中A型患者所占比例较高,B型及C型患者所占比例较低(P<0.05);子宫内膜血流分型中Ⅲ型患者所占比例较高,Ⅰ型及Ⅱ患者所占比例较低(P<0.05);子宫内膜血流搏动指数(PI)、阻力指数(RI)、收缩期峰值流速/舒张末期流速(S/D)较低(P<0.05)。治疗后12个月内,观察组妊娠成功率高于对照组(81.25%vs.62.50%,P<0.05)。观察组平均妊娠时间较对照组明显缩短(P<0.05)。结论盆腔炎治疗仪结合低频神经肌肉电刺激有利于改善薄型子宫内膜不孕症患者子宫内膜厚度、形态及血流动力学参数,提高妊娠成功率。
Objective To investigate the effect of pelvic inflammatory therapeutic apparatus combined with low-frequency neuromuscular electrical stimulation on endometrial receptivity and pregnancy outcomes in patients with thin endometrium infertility.Methods A total of 96 thin endometrium infertility patients admitted to Guangxi Zhuang Autonomous Region Reproductive Hospital from January 2020 to June 2021 were selected as study subjects,and they were divided into control group and observation group by random number table method,with 48 cases in each group.The control group was treated with low-frequency electrical stimulation,and the observation group was treated with pelvic inflammatory therapy therapeutic apparatus combined with low-frequency electrical stimulation.After treatment,endometrial thickness,endometrial volume,morphological classification and blood flow classification of endometrium and hemodynamic parameters of the two groups were measured,and the successful pregnancy rate within 12 months after treatment was statistically analyzed.Results After treatment,the endometrial thickness and volume of the observation group were higher than those in control group(P<0.05).The proportion of patients with endometrial morphology type A was higher,the proportion of patients with type B and type C was lower(P<0.05).The proportion of patients with endometrial blood flow type Ⅲ was higher,and the proportion of patients with type Ⅰ and type Ⅱ was lower(P<0.05).The endometrial blood flow pulse index(PI),resistance index(RI),peak systolic velocity/end diastolic(S/D)were lower(P<0.05).Within 12 months after treatment,the successful pregnancy rate in the observation group was higher than that in the control group(81.25%vs.62.50%,P<0.05).The average pregnancy time of the observation group was significantly shorter than that of the control group(P<0.05).Conclusions Pelvic inflammatory therapeutic apparatus combined with low-frequency neuromuscular electrical stimulation is conducive to improving endometrial thickness,morphol
作者
江秋
林忠
覃晓玲
张宾
JIANG Qiu;LIN Zhong;QIN Xiaoling;ZHANG Bin(Department of Gynaecology,Guangxi Zhuang Autonomous Region Reproductive Hospital,Nanning 530000,Guangxi,China)
出处
《中国性科学》
2024年第3期78-82,共5页
Chinese Journal of Human Sexuality
基金
广西壮族自治区中医药管理局自筹经费科研课题(GXZYZ20210552)。
关键词
不孕症
薄型子宫内膜
盆腔炎治疗仪
低频神经肌肉电刺激
子宫内膜容受性
妊娠结局
Infertiltiy
Thin endometrium
Pelvic inflammatory therapeutic apparatus
Low-frequency neuromuscular electrical stimulation
Endometrial receptivity
Pregnancy outcome
