经阴道彩色多普勒超声在卵巢慢反应中的应用

Application of transvaginal color Doppler sonography in suboptimal ovarian response

目的探讨经阴道彩色多普勒超声在卵巢慢反应患者中的应用价值。方法对控制性超促排卵(COH)前评估为卵巢功能正常的不孕患者进行经阴道彩色多普勒超声检查,根据COH后卵巢的反应性将患者分为慢反应组16例和正常反应组87例,比较分析两组患者间各相关指标的差异。结果与正常反应组相比,慢反应组患者体质指数较大,差异有统计学意义(P<0.05)。两组患者间年龄及不孕年限相比较,差异无统计学意义(P>0.05)。与正常反应组相比,慢反应组患者卵巢间质血流阻力指数较大,差异有统计学意义(P<0.05)。两组患者间卵巢大小、基础窦卵泡数及收缩期峰值流速相比较,差异无统计学意义(P>0.05)。结论患者体质指数较大且经阴道彩色多普勒超声检测卵巢间质血流阻力指数较高时,在COH过程中发生卵巢慢反应的风险更高。

Objective To evaluate the application of transvaginal color Doppler sonography(TV-CDS) in patients with suboptimal ovarian response. Methods TV-CDS was performed on infertile patients with normal ovarian function evaluated before controlled hyperstimulation(COH). According to the ovarian response after COH, the patients were divided into suboptimal response group(16 cases) and normal response group(87 cases). The differences in related indicators between the two groups were compared. Results There were significantly differences in the body mass index(BMI) and resistance index(RI) between the two groups(P<0.05). Conclusion Patients with larger BMI and higher RI of ovarian interstitial blood flow detected by TV-CDS have a higher risk of suboptimal ovarian response during COH.