彩色多普勒超声对结核性盆腔炎卵巢功能的评价

Color Doppler evaluation of tuberculous pelvic inflammation ovarian function

目的:使用彩色多普勒超声观察结核性盆腔炎治疗前后卵巢血供的变化,在血液动力学水平上了解结核性盆腔炎对子宫及卵巢功能的影响及治疗后子宫及卵巢功能恢复状况。方法:对17例结核性盆腔炎患者(观察组)及17例生育期健康育龄妇女(对照组)分别进行彩色多普勒检查,测得子宫及卵巢动脉收缩期峰值流速(Vmax)、阻力指数(resistance index,RI)、搏动指数(pulsatility index,PI)。比较观察组在治疗前后及治疗各不同阶段测量值,并分别与对照组进行对比,将测量值作为卵巢功能恢复情况的依据。结果:观察组子宫动脉卵巢支及卵巢动脉流速治疗3个月较治疗前、治疗1 a较治疗6个月时增高。观察组子宫动脉卵巢支及卵巢动脉流速治疗3个月、6个月、1 a、1.5 a均较对照组增高。观察组卵巢动脉PI与RI治疗前、治疗3个月、治疗6个月较对照组明显增高;观察组卵巢动脉PI与RI治疗1 a、1.5 a较正常对照组增高。结论:盆腔结核治疗前后可导致子宫及卵巢动脉血流动力学改变。结核性盆腔炎治疗前后子宫及卵巢动脉各项血流参数对评价盆腔结核治疗效果及预测治疗后卵巢功能的恢复均有重要参考价值。

Objective To observe the changes in ovary blood supply of the tuberculous pelvic inflammation patient before and after treatment by color Doppler to explore the influences of tuberculous pelvic inflammation on uterus and ovary functions from hemodynamic aspect as well as the rehabilitation of uterus and ovary functions after treatment. Methods The 17 tuberculous pelvic inflammation patients in the observation group and 17 healthy women at child-bearing period underwent color Doppler examination, and such indexes were measured as the peak systolic flow velocities of uterine artery and arteria ovarica(Vmax), resistance index(RI) and pulsatility index(PI). The measure values at all the stages were compared in the observation group, and then contrasted with those in the control group. The rehabilitation of ovary function was evaluated according to the measure values. Results The observation group had the Vmaxs of rami ovarii arteriae uterinae and arteria ovarica 3 months after treatment higher than those before treatment, and the Vmaxs of rami ovarii arteriae uterinae and arteria ovarica 1 a were significantly higher than those 6 months after treatment. The Vmaxs of rami ovarii arteriae uterinae and arteria ovarica in the observation group 3 months, 6 months, 1 a and 1.5 a after treatment were all higher statistically than those in the control group at corresponding periods. The observation group had the measure values of PI and RI before treatment as well as 3 months and 6 months after treatment obviously higher than those in the control group. The measure values of PI and RI 1 and 1.5 a after treatment in the observation group were also higher than those in the control group.Conclusion Uterine artery and arteria ovarica may have hemodynamic changes before and after pelvic tuberculosis treatment.Measuring the blood flow parameters of uterine artery and arteria ovarica before and after pelvic tuberculosis treatment contributes to evaluating pelvic tuberculosis treatment efficacy and predicting ovarian function rehabilitation after treatment.