经阴道彩色超声监测子宫内膜厚度及子宫血流动力学在不孕症患者中的应用

The application of transvaginal color Doppler ultrasound on endometrium and uterus with sterility in infertile women

目的:探讨经阴道彩色超声监测不孕症患者子宫内膜厚度及子宫血流动力学的临床意义。方法:选择该院门诊收治的不孕症女性患者85例(不孕症组)和同期健康志愿者60例(对照组),在月经周期第8～11天、第13～16天、第20～24天时,应用经阴道彩色超声检测,比较两组子宫内膜厚度和子宫动脉收缩期峰值血流速度(PSV)、搏动指数(PI)和阻力指数(RI)。结果:在月经周期第8～11天、第13～16天、第20～24天,不孕症组的子宫内膜厚度均小于对照组,差异具有统计学意义(P<0.05);子宫动脉的PSV较对照组缓慢,PI、RI较对照组增高,差异有统计学意义(P<0.05)。结论:经阴道彩色多普勒超声检测子宫内膜厚度及血流动力学参数,可较好地了解不孕症患者子宫内膜容受性状态。

Objective To study the clinical significance of transvaginal color Doppler ultrasound on endometrium and uterus with sterility in infertile women. Methods Transvaginal color Doppler ultrasound was performed on 85 infertile women（infertile group）and 60 normal women（control group）to test and comparatively analyze endometrial thickness,peak systolic velocity（PSV）,pulsatility index（PI）and resistance index（RI）of uterine artery. Results From 8th day to 11th,from 13th day to 16th,from 20th day to 24th start of menstrual cycle,the endometrial thickness of infertile group was less than that of control group（P0.05）.PSV of infertile group was slower than that of control group（P〈0.05）.PI and RI of infertile group were higher than those of control group（P〈0.05）. Conclusion The endometrial thickness and PSV,PI and RI of uterine artery by transvaginal color Doppler ultrasound can assess endometrial receptivity.