阴道超声监测卵泡发育及子宫内膜厚度变化对治疗不孕症的临床价值

Clinical value of monitoring follicular development and endometrial thickness by vaginal ultrasound in the treatment of infertility

目的分析阴道超声监测卵泡发育和子宫内膜厚度变化对治疗不孕症的临床价值。方法选取本院2018年5月至2019年12月收治的不孕症患者55例作为研究组,并选取同期开展孕前体检的育龄期妇女55名作为参照组,两组均实施阴道超声监测,比较两组卵泡发育情况和子宫内膜厚度。结果研究组卵泡直径、子宫内膜厚度明显均低于参照组,差异具有统计学意义(P<0.05);治疗后,研究组卵泡发育不良发生率及卵泡黄素化发生率均低于治疗前(P<0.05);研究组均质型子宫内膜占比高于参照组,三线型子宫内膜占比低于参照组,差异具有统计学意义(P<0.05);两组非显性排卵率比较差异无统计学意义;研究组患者卵泡成熟率低于参照组,而非卵泡成熟排卵率高于参照组,差异有统计学意义(P<0.05)。结论对于不孕症患者实施阴道超声监测能根据患者卵泡发育及子宫内膜厚度变化优化治疗方案,提高治疗效果和妊娠率,改善患者生活质量,临床价值较高。

Objective To analyze the clinical value of monitoring follicular development and endometrial thickness by vaginal ultrasound in the treatment of infertility.Methods 55 infertility patients admitted to our hospital from May 2018 to December 2019 were selected as the study group,and 55 women of childbearing age who underwent pre-pregnancy physical examination during the same period were selected as the reference group.Both groups were monitored by vaginal ultrasound.The development of follicles and the thickness of the endometrium were cmpared between the two groups.Results The follicle diameter and endometrial thickness of the study group were significantly lower than those of the reference group,and the difference was statistically significant(P<0.05);after treatment,the incidence of follicular dysplasia and follicle luteinization in the study group were lower than those before treatment(P<0.05);the proportion of homogeneous endometrium in the study group was higher than that of the reference group,and the proportion of third-line endometrium was lower than that of the reference group,the difference was statistically significant(P<0.05);the difference was not statistically significant comparison of non-dominant ovulation rates between the two groups;the follicular maturation rate of patients in the study group was lower than that of the reference group,and the ovulation rate of non-follicular maturation was higher than that of the reference group,and the difference was statistically significant(P<0.05).Conclusion The implementation of vaginal ultrasound monitoring for infertility patients can optimize the treatment plan according to the changes in the follicular development and endometrial thickness of the patients,improve the treatment effect,pregnancy rate,and improve the quality of life of the patients,and has high clinical value.