超声监测原发和继发不孕患者排卵结果的对照分析

Comparative analysis of ultrasound monitoring ovulation results in primary and secondary infertility patients

目的探讨超声对排卵功能障碍的诊断价值。方法选择女性不孕患者215例,其中原发不孕112例,继发不孕103例。采用GE(美国)Voluson Expert E8型彩色多普勒超声诊断仪监测患者排卵情况,215例患者共监测430个周期。记录卵巢大小、子宫内膜厚度等。结果原发与继发不孕患者卵巢体积、子宫内膜厚度、优势卵泡直径比较,差异均无统计学意义。原发不孕患者小卵泡排卵、未破裂卵泡黄素化综合征发生率与继发性不孕患者上述排卵障碍发生率比较,差异均有统计学意义(P<0.05)。原发与继发不孕患者多囊卵巢发生率比较,差异无统计学意义(P>0.05)。结论原发不孕患者无排卵、小卵泡排卵、未破裂卵泡黄素化综合征发生率高于继发不孕患者。超声检查可直接观察卵泡发育情况,区分不同排卵功能障碍,操作简便,值得临床推广应用。

Objective To investigate the value of ultrasound in the diagnosis of ovulation dysfunction.Methods 215 female infertile patients were selected,112 cases of original infertility and 103 cases of secondary infertility.The patients'ovulation was monitored by GE(United States)Voluson Expert E8 color Doppler ultrasound diagnostic instrument.430 cycles were monitored in 215 patients.The ovary size and the thickness of endometrium were recorded.Results There was no significant difference in ovarian volume,endometrium thickness and dominant follicle diameter between primary and secondary infertility patients.The incidence of small follicular ovulation and unruptured follicular yellowing syndrome were 27.7%and 20.5%in primary infertility patients.The incidence were 11.7%and 7.8%in secondary infertility patients.There was significant difference between the two groups(P<0.05).The incidence of polycystic ovary were 10.7%in primary infertility patients and 9.7%in secondary infertility patients,there was no significant difference between them(P>0.05).Conclusion The incidence of non-ovulation,small follicular ovulation and unruptured follicular yellowing syndrome in primary infertility patients were higher than those in secondary infertility patients.Ultrasonic examination can directly observe follicular development and distinguish different ovulation dysfunction,which was easy to operate and worthy of clinical application.