经阴道超声检查在排卵预测中的价值以及对卵巢储备的评估

Value of transvaginal ultrasonography in ovulation prediction and assessment of transvaginal ultrasonography in ovarian reserve

目的分析经阴道超声检查在排卵预测中的价值以及对卵巢储备的评估。方法选择150例不孕症患者作为观察组,按激素检查结果不同分为卵巢储备功能正常组(76例)和卵巢储备功能下降组(74例);选择同期150例体检健康女性作为对照组。两组均接受经阴道超声检查。比较观察组和对照组卵巢动脉血流动力学指标[收缩期峰值血流速度(PSV)、卵巢间质动脉搏动指数(PI)、阻力指数(RI)];卵巢功能储备正常组、卵巢功能储备下降组卵巢动脉血流动力学指标(PSV、PI、RI)、平均卵巢直径(MOD)、窦卵泡计数(AFC)。结果观察组PSV(11.68±1.25)cm/s、PI(1.01±0.12)低于对照组的(14.85±1.60)cm/s、(1.34±0.18), RI(0.79±0.10)高于对照组的(0.60±0.08),差异有统计学意义(P<0.05)。卵巢储备功能正常组MOD大于卵巢储备功能下降组, PI、PSV、AFC高于卵巢储备功能下降组, RI低于卵巢储备功能下降组,差异均有统计学意义(P<0.05)。结论排卵预测中采用经阴道超声检查,可明确女性患者卵巢动脉血流动力学变化,并可对卵巢储备功能进行评估,检查结果可用于临床诊疗参考。

Objective To evaluate the value of transvaginal ultrasonography in ovulation prediction,and to assess the transvaginal ultrasonography in ovarian reserve.Methods 150 patients with infertility were collected as an observation group,they were further divided into a normal ovarian reserve group(76 patients)and a poor ovarian reserve group(74 patients),based on the results of hormone examination.150 women with normal health examined in the same period were collected as a control group.These two groups were examined with transvaginal ultrasonography.Hemodynamic indexes of ovarian artery[peak systolic velocity(PSV),ovarian pulsatility index(PI),resistance index(RI)]were compared between the observation group and the control group.Hemodynamic indexes of ovarian artery(PSV,PI,RI),mean ovarian diameter(MOD)and antral follicle count(AFC)were compared between the normal ovarian reserve group and the decreased ovarian reserve group.Results The observation group had PSV of(11.68±1.25)cm/s,PI of(1.01±0.12),which were lower than corresponding(14.85±1.60)cm/s,(1.34±0.18)in the control group;RI in the observation group was(0.79±0.10),which was higher than(0.60±0.08)in the control group;and the difference was statistically significant(P<0.05).MOD in the normal ovarian reserve group was larger than that in the decreased ovarian reserve group;PI,PSV,AFC in the normal ovarian reserve group were higher than those in the decreased ovarian reserve group;RI in the normal ovarian reserve group was lower than that in the decreased ovarian reserve group;and the difference was statistically significant(P<0.05).Conclusion Applying transvaginal ultrasonography in the ovulation prediction can determine the hemodynamic changes of ovarian artery in female patients,and evaluate the ovarian reserve.These results can be used as a reference for clinical diagnosis and treatment.