不孕症妇女子宫内膜容受性及子宫动脉血流动力学指标的超声表现

Ultrasonographic Manifestations of Endometrial Receptivity and Uterine Artery Hemodynamics in Infertile Women

目的:分析不孕症妇女子宫内膜容受性及子宫动脉血流动力学指标的超声表现。方法:本次研究选取2021年6月-2022年12月永安市立医院不孕症80例及健康体检的已育女性70例为研究对象。其中,不孕症患者纳入B组,接受健康体检的已育女性纳入A组。两组均在月经第8、15、22天接受经阴道彩色多普勒超声检查,汇总子宫内膜容受性及子宫动脉血流动力学指标,并进行对比分析。结果:在月经第8、15、22天,与A组比较,B组子宫内膜A型占比均低,差异均有统计学意义(P<0.05);在月经第8、22天,与A组比较,B组子宫内膜B型占比均高,差异均有统计学意义(P<0.05);在月经第15天,B组子宫内膜C型占比高于A组,差异有统计学意义(P<0.05);在月经第8、15、22天,和A组相比,B组子宫内膜厚度均相对较低;B组子宫内膜A型均相对较低;B组子宫内膜容积≥2 mL占比均相对较低,<2 mL占比均相对较高;B组搏动指数和阻力指数均相对较高,收缩期最大速度均相对较低(P<0.05)。结论:与健康女性相比,不孕症妇女的子宫内膜厚度降低、子宫内膜容积缩小、搏动指数和阻力指数升高,收缩期最大速度降低,针对上述指标检测有利于不孕症的临床筛查和初步诊断。

Objective:To analyze the ultrasonographic manifestations of endometrial receptivity and uterine artery hemodynamics in infertile women.Method:A total of 80 cases of infertility at Yong’an Municipal Hospital and 70 pregnant women who underwent health examinations from June 2021 to December 2022 were selected as the research subjects.Among them,patients with infertility were included in group B,and pregnant women who underwent health examinations were included in group A.The two groups received transvaginal color Doppler ultrasound examination on the 8th,15th and 22nd day of menstruation,endometrial receptivity and uterine artery hemodynamic indicators were summarized,and comparative analysis was conducted.Result:On the 8th,15th,and 22nd day of menstruation,compared with group A,the proportion of endometrial type A in group B were lower,and the differences were statistically significant(P<0.05).On the 8th and 22nd day of menstruation,compared with group A,the proportion of B-type endometrium in group B were higher,the differences were statistically significant(P<0.05).On the 15th day of menstruation,the proportion of C-type endometrium in group B was higher than that in group A,with a statistically significant difference(P<0.05).On the 8th,15th,and 22nd day of menstruation,compared with group A,group B had a relatively lower endometrial thickness;the type A of endometrium in group B were relatively low;the proportion of uterine content volume≥2 mL in group B were relatively lower,while the proportion of uterine content volume<2 mL were relatively higher;the pulsatile index and resistance index of group B were relatively higher,while the maximum systolic velocity were relatively lower(P<0.05).Conclusion:Compared with healthy women,infertile women have a decrease in endometrial thickness,a decrease in uterine volume,an increase in pulsation index and resistance index,and a decrease in maximum systolic velocity,testing these indicators is beneficial for clinical screening and preliminary diagnosis of infertility.