彩色多普勒超声在反复自然流产患者子宫内膜容受性中的应用价值研究

Research on application value of color doppler ultrasound in endometrial receptivity of patients with recurrent spontaneous abortion value research

目的通过彩色多普勒超声检测妊娠与非妊娠状态下反复自然流产患者子宫内膜容受性的各项参数,分析彩色多普勒超声的临床应用价值。方法选取本院于2017年6~12月收治的42例反复自然流产患者作为研究对象,根据患者的妊娠与非妊娠状态分为两组,妊娠组有20例患者,非妊娠组有22例患者,通过彩色多普勒超声设备监测两组患者子宫内膜相关指标,评价两组患者的子宫内膜容受性,分析其临床应用价值。结果妊娠组与非妊娠组子宫内膜厚度和内膜容积比较,差异无统计学意义(P>0.05),说明反复自然流产患者能否妊娠成功与子宫内膜厚度和内膜容积大小相关性不大。两组患者子宫动脉血流参数PI、RI及S/D值相比,差异无统计学意义(P>0.05),表明反复自然流产患者妊娠结局与子宫动脉血流参数PI、RI及S/D值无相关性。两组患者子宫螺旋动脉血流参数PI、RI及S/D值相比,差异有统计学意义(P<0.05),表明反复自然流产患者妊娠与否和子宫螺旋动脉血流参数PI、RI及S/D值相关。结论彩色多普勒超声检查在反复自然流产患者子宫内膜容受性的评价中具有一定的临床价值,可通过子宫螺旋动脉血流参数的测定评估是否能够妊娠,值得临床推广应用。

Objective To analyze the clinical applicative values of color Doppler ultrasound by detecting endometrial receptivity parameters in patients with recurrent spontaneous abortion under pregnancy and nonpregnancy by color Doppler ultrasound. Methods 42 patients with recurrent spontaneous abortion who were admitted and treated in our hospital from June to December 2017 were selected as the research objects.They were divided into two groups according to their pregnancy and non-pregnancy status.There were 20 patients in the pregnancy group and 22 patients in the non-pregnancy group.The endometrium-related indexes of the two groups were monitored by color Doppler ultrasound,and the endometrial receptivity of the two groups was evaluated.Its clinical application value was analyzed. Results There was no statistically significant difference in endometrial thickness and volume between pregnant group and non-pregnant group(P>0.05),indicating that the success of pregnancy in patients with recurrent spontaneous abortion was not related to endometrial thickness or volume.There was no statistically significant difference in uterine artery blood flow parameters such as PI,RI and S/D values between the two groups(P>0.05),indicating that there was no correlation between pregnancy outcomes and uterine artery blood flow parameters such as PI,RI and S/D values.There were statistically significant differences in PI,RI and S/D of uterine spiral artery blood flow parameters between the two groups(P<0.05),which indicated that pregnancy was related to PI,RI and S/D of uterine spiral artery blood flow parameters in patients with recurrent spontaneous abortion. Conclusion Color Doppler ultrasound has certain clinical values in the evaluation of endometrial receptivity of patients with recurrent spontaneous abortion.It can be used to evaluate pregnancy by measuring the blood flow parameters of uterine spiral artery,which is worthy of clinical promotion and application.