子宫内膜超声类型及厚度与妊娠的关系

Relationship of endometrial pattern and thickness to fecundity in ovulation induction cycles

目的 分析使用促性腺激素诱发排卵的病人子宫内膜的类型及厚度与妊娠关系。方法 回顾性分析 13 5个治疗周期具有均质征子宫内膜、三线征子宫内膜以及子宫内膜厚度≤ 9mm ,≥ 10mm的妊娠结果。结果 13 5个治疗周期中 ,三线征子宫内膜为 10 7个周期 ( 79% ) ,均质征子宫内膜 2 8个周期 ( 2 1% ) ,在三线征子宫内膜妊娠率为 2 2 % ,均质征子宫内膜妊娠率为 7% ,二者妊娠率有明显差别 (P <0 0 1) ,子宫内膜厚度≥ 10mm时 ,妊娠率明显提高。结论 使用促性腺激素诱发排卵时 ,在hCG注射前 ,子宫内膜呈均质征以及内膜厚度≤ 9mm时 。

Objective To analyze the relationship of endometrial pattern and thickness to fecundity in patients treated with menotropins.Methods A retrospective study analyzed the pregnancy results in 135 ovulation induction cycles with a homogeneous patients of a trilaminar patterns and with the endometrial thickness ≤9 mm or ≥10 mm.Results During the study period, 135 ovulation induction cycles were analyzed, 107(79%) cycles had a trilaminar endometrium, whereas 28(21%) cycles had a homogeneous patterns. In the trilaminar group, the pregnancy rate (PR) was 22%, and in the homogeneous group, the PR was 7%, The PR was significantly higher in the trilaminar group than that in the homogeneous group ( P <0 01), when the endometrial thickness was ≥10 mm,the PR was also high. Conclusion In patients receiving menotropins ovulation stimulation, a homogeneous endometrial pattern and the endometrial thickness ≤9 mm on the day of hCG administration predicts a significantly decreased PR.