超声在复发性自然流产女性中子宫内膜的诊断价值及血流动力学分析

Diagnostic Value and Hemodynamic Analysis of Endometrium in Women with Recurrent Spontaneous Abortion

目的将超声检查应用于复发性自然流产患者的子宫内膜临床诊断和血流动力学研究中,分析以及评估临床价值及意义。方法此文方便选取2016年5月—2018年7月该院收入及诊治的30例复发性自然流产患者归入试验组资料,且将同期在该医院接受健康体检的30名正常女性归入对照组资料,对两组受检者都开展超声检查,统计并观察两组受检者的临床检查结果。结果试验组患者的子宫内膜厚度测定值(5.12±1.05)mm显著低于对照组正常女性相关数据(9.20±2.13)mm,差异有统计学意义(t=9.410, P<0.05)。试验组患者的子宫及内膜收缩期动脉流速、舒张期动脉流速[(41.12±3.40)cm/s、(5.10±0.81)cm/s、(6.20±2.05)cm/s、(2.74±1.20)cm/s]显著低于对照组正常女性相关数据[(45.40±4.61)cm/s、(6.05±1.20)cm/s、(10.18±3.10)cm/s、(5.09±1.80)cm/s],差异有统计学意义(t=4.092、3.594、5.865、5.949, P<0.05)。试验组患者的子宫及内膜阻力指数、搏动指数[(0.81±0.10)、(1.30±0.23)、(0.79±0.10)、(1.30±0.21)]显著高于对照组正常女性相关数据[(0.59±0.30)、(0.77±0.45)、(0.48±0.20)、(0.78±0.40)],差异有统计学意义(t=5.865、5.744、7.593、6.304, P<0.05)。结论在复发性自然流产患者的子宫内膜临床诊断和血流动力学研究中采用超声检查展示良好效果,呈现重要临床价值及推广应用意义。

Objective To evaluate the clinical value and significance of ultrasonography in the clinical diagnosis and hemodynamic study of endometrium in patients with recurrent spontaneous abortion. Methods In this paper, 30 patients with recurrent spontaneous abortion who were admitted to the hospital from May 2016 to July 2018 were included in the trial group, and 30 normal women who received health checkups in the hospital were included in the control group. Ultrasound examination of both groups of subjects, statistics and observation of the clinical examination results of the two groups of subjects. Results The measured endometrial thickness(5.12 ±1.05) mm in the experimental group was significantly lower than that in the control group(9.20±2.13) mm, which was statistically significant(t=9.410, P<0.05). Uterine and intimal systolic arterial velocity and diastolic arterial flow rate in the experimental group [(41.12±3.40) cm/s,(5.10±0.81) cm/s,(6.20±2.05) cm/s,(2.74±1.20) cm/s] was significantly lower than that of normal women in the control group [(45.40±4.61) cm/s,(6.05±1.20) cm/s,(10.18±3.10) cm/s,(5.09±1.80) cm/s], statistically significant(t=4.092, 3.594, 5.865, 5.949, P<0.05). The uterus and intimal resistance index and pulsatility index [(0.81±0.10),(1.30±0.23),(0.79±0.10),(1.30±0.21)] in the experimental group were significantly higher than those in the control group [(0.59±0.30),(0.77±0.45),(0.48±0.20),(0.78±0.40)],statistically significant(t=5.865, 5.949, 3.810, 5.744, P<0.05). Conclusion Ultrasonography is used to show good results in the clinical diagnosis and hemodynamic study of endometrium in patients with recurrent spontaneous abortion. It has important clinical value and popularization significance.