阴道超声监测卵泡发育在不孕症治疗中的应用

Application of transvaginal ultrasound monitoring follicular development in treatment of sterility

目的探讨超声监测卵泡发育及子宫内膜生长情况在不孕症中的应用及其临床价值。方法对江阴市人民医院2010年12月至2011年12月不孕妇女（输卵管通畅者并排除男性不育）200例，利用超声监测卵泡发育及子宫内膜生长情况，指导临床用药及受孕时机。结果200例不孕妇女中，自然排卵110例，占55．0％，药物促排卵90例，占45．0％。其中30例多囊卵巢，占15．0％；成功受孕70例，占35．0％；自然流产15例，占7．5％；稽留流产5例，占2．5％；出现卵巢过度刺激综合征5例，占2．5％。结论应用阴道超声连续监测卵泡的发育情况，确定卵泡的位置、形态、大小及数目，以及监测子宫内膜生长情况，指导临床用药，对提高受孕率具有十分重要的意义。

Objective To discuss the application and clinical value of transvaginal ultrasonic monitoring of follicular development and growth of endometrial in treatment of sterility . Methods For 200 cases of infertile women （ cases whose oviduct is unobstructed and cases of male sterility are excluded） diagnosed in Jiangyin People＇ s Hospital from December 2010 to December 2011, transvaginal ultrasonography was performed to monitor follicular development and growth of endometrial and to guide clinical medication and pregnant time. Results In 200 cases, there were 110 cases of natural ovulation （55.0%） and 90 cases of drug stimulating ovulation （45.0%）. There were 30 cases with polycystic ovary （ 15.0% ）, 70 cases of successful pregnancy （ 35.0% ）, 15 cases of spontaneous abortion （7.5 % ） , 5 cases of missed abortion （2.5 % ） and 5 cases of ovarian hyperstimulation syndrome （OHSS） （ 2.5% ）. Conclusion It is of great importance to improve pregnant rate by applying transvaginal ultrasound monitoring follicular development continuously to identify the position, shape, size and number of follicular and monitoring the growth of endometrial so as to guide clinical medication.