B超用于不孕妇女的排卵监测——85例分析

ULTRASONOGRAPHIC MONITORING OF OVULATION FOR 85 INFERTILE WOMEN

本文用B型超声波监测85例不孕妇女的排卵状况.共监测146个月经周期,其中自然排卵105个周期,氯菧酚胺诱导排卵41个周期.结果为:自然排卵率77.14%,药物诱导排卵率87.80%.药物诱导排卵组较自然排卵组卵泡数多,排卵前最大卵泡直径大,非优势卵泡破裂多,排卵征象以卵泡直径缩小为主.B超监测与BBT图比较,二者指示排卵日之相符率为59.83%,相差范围1～5天.在B超所示排卵日指导性生活42例,妊娠14例,其中流产5例,流产组卵泡直径显著小于正常妊娠组.结果表明,B超监测排卵在不孕症治疗中有其重要的实用价值,加辅以其他监测排卵的方法。

The present report refers to monitor ing ovulation of 85 infertile women with ultrasonography.One hundred and fortysix menstrual cycles, including 105 natural cycles and 41 induced cycles,were evaluated.The ovulation rate of the nature group is 77.14% and 87.80%, for the induced group.Comparatively, the latter group has following features: more developing follicles, larger follicular maximum diameter, more ruptured subdominant follicles,and follicular shrinking as the main ovulation sign.The correspondence rate between ullrasonographic and BBT presumed ovulation day is 59.83%, with 1-5 days of difference range.Of 42 infertile couples to whom sexual intercourse was suggested on the ultrasonographic presumed ovulation day, 14(33.33% )were conceived just through one or two cycles.These results suggest that ultrasonographic evaluation of ovulation is practical and valuable in the treatment of infertility