不孕症卵泡发育异常的超声监测

Observing Abnormal Growth of Follicles in the Infertility by Sonographic Monitoring

对114例不孕症妇女,用B超连续监测卵泡发育与子宫内膜声像变化,共观察了250个周期。其中49例(49/114)有73个周期(73/250)发现不同类型的卵泡发育异常而致排卵障碍,可归纳为4种类型:1.黄体化未破裂卵泡(LUF)31个周期,2.卵泡萎缩13个周期,3.未发育卵泡20个周期,4.小卵泡排卵9个周期。卵泡发育异常是不孕症的重要原因之一。提出以B超连续监测结合基础体温,宫颈粘液评分及其它有关指标综合判断来诊断LUF周期,比较准确而实用。观察卵泡发育异常对发现不孕症病因及指导临床治疗有重要价值。

The sonographic screening study consisted of 250 menstrual cycles in 114 infertile women. Abnormal developmental follicles which had interfered with normal ovulation were observed in 73 cycles (73/ 250 cycles) of 49 cases. They may be grouped into 4 types: 1.luteinized unruptured follicles (LUF) of 31 cycles,2. atrophic follicles of 13 cycles,3. undeveloped follicles of 20 cycles,4. microfollicle ovulations of 9 cycles. It was obvious that abnormal growth of follicles was an important pathogenic factor among the infertile woman. The atricle suggested that sonographic monitoring combining with basal body temperature , cervical mucus score and related data may raise the diagnostic accuracy for LUF. B- ultrasound will be of great value for monitoring abnormal courses of follicular development, finding out the causes of infertility and guiding clinical therapy.