B超和腹腔镜监测排卵的对照研究

The Study of Monitoring Ovaluation: Ultrasonography Compared with Peritoneoscopy

应用Ｂ型实时超声显像连续观察了１０４例卵泡发育及排卵异常的声像图，回顾性分析了各类声像图的特征与诊断价值，部门病例与腹腔镜检查进行了对照，诊断符合率９２％（２４／２６）。本组１０４例中卵泡发育异常５１例（４９％），排卵异常５３例（５１％）。声像图类型分为：１．无卵泡发育型１９．２３％（２０／１０４），２．小卵泡壁厚型２０％（２１／１０４）。３．子宫后位卵泡９．６１％（１０／１０４），４．未破裂卵泡黄素化４１％（４３／１０４），５．卵泡过度发育９．６１％（１０／１０４）。根据Ｂ超监测排卵诊断泡卵发育异常，能指导药物治疗，诊断顽固性不孕症，现已被公认为亿于ＬＨ峰值的监测与基础体温测量的可靠方法之一。

The follicular development and ovulation abnormality were studied with ultrasonography in 104 patients of infertility The characteristics and values were analysed then The finding was compared with the peritoneoscopy in some patients, in whom the coincidence is of 92% (24/26) There were abnormally follicular development and ovulation in this group, which were 51(49%) and 53(51%) cases, respectively We classified image findings into five types: 1 Non follicular development (19 2%), 2 Small folliculars with a thick wall(20 2%), 3 Folliculars situated behind the uterus (9 6%), 4 unruptured inlecinifed syndrome follicular (41 3%), 5 Excessive follicular development (9 6%) The study suggested that scanning and rescanning the process of hte developng folliculars can be used to observe their abnormal development, diagnose the intractable infertility and, instruct gynecologist to choose medicine for patients Now it has publicly been accepted that ultrasonography is one of the best methods in diagnosing infertility than that of LH level and basic temperature test