阴道彩色多普勒检查监测卵泡发育在不孕症治疗中应用价值研究

Research on the application value of transvaginal color doppler examination of monitoring follicular development in the treatment of infertility

目的:探讨经阴道彩色多普勒检查监测卵泡发育指导不孕症治疗的应用价值。方法:对132例不孕不育症患者进行阴道彩色多普勒检查,监测卵泡发育、排卵及子宫内膜厚度的变化情况。结果:卵泡发育成熟并正常排卵92例(69.7%),多囊卵巢综合征9例(6.8%),无排卵型8例(6.1%),小卵泡排卵型13例(9.8%),未破裂卵泡黄素化综合征10例(7.6%),其中子宫直肠陷窝积液99例(75%);排卵期子宫内膜厚度差异存在统计学意义(P<0.05)。结论:阴道彩色多普勒检查能准确监测卵泡发育及子宫内膜厚度的变化情况,预测排卵时间,为临床掌握安全的用药剂量及性生活时间提供更可靠的信息,在临床不孕症治疗中的具有重要价值。

Objective:To study the application value of transvaginal color doppler examination monitoring follicular development to guide the treatment of infertility.Methods:We did vaginal color doppler examination for 132 cases of infertility patients,and monitored the changes of follicular development,ovulation and endometrial thickness.Results:Follicular maturation and ovulation normal in 92 cases(69.7%),9 cases of polycystic ovary syndrome(6.8%),no ovulation type in 8 cases(6.1%),13 cases of small follicle ovulation(9.8%),10 cases of unruptured luteinized follicles syndrome(7.6%),99 cases of uterine rectum lacunae effusion(75%);there was a significant difference between the ovulation phase endometrial thickness(P<0.05).Conclusion:Transvaginal color doppler examination can accurately monitor the development of follicle and the change of endometrial thickness,predict the ovulation time,and provide more reliable information control for the security dosage and time of sexual life in clinical.It has important value in the clinical treatment of infertility.