摘要
目的评价多囊卵巢综合征(PCOS)不孕症患者经阴道超声引导下未成熟卵泡介入术(TUG-IFI)术前、术后卵巢间质血流变化。方法对73例PCOS不孕症患者行TUG-IFI,运用彩色多普勒超声(CDU)检测卵巢间质血流情况,结合相关血清激素水平,分析比较TUG-IFI术前、术后的变化情况和相关性。结果术后血清LH、睾酮和LH/FSH比值明显降低(P<0.01),卵巢间质最大收缩期血流速度明显升高(P<0.01),搏动指数、阻力指数明显下降(P<0.01),搏动指数与LH、睾酮和LH/FSH比值之间存在正相关(P<0.05),阻力指数与睾酮和LH/FSH比值之间存在正相关(P<0.05)。结论CDU可为PCOS不孕症患者TUG-IFI术前、术后卵巢间质血流提供准确、可靠的定量评估指标。
Objective To evaluate the hemodynarnic changes of ovarian stroma through transvaginal ultrasound-guided immature follicular intervention （TUG-IFI） in the infertile patients with polycystic ovary syndrome with color Doppler ultrasonography （CDU）. Methods Seventy three infertile women with PCOS underwent TUG-IFI were studied. Ovarian stroma blood flow measurement by CDU and hormonal assay were carried out before and after TUG-IFI. Results After TUG-IFI, hormonal profiles changed, serum concentrations of LH, testosterone and LH/FSH ratio decreased significantly （P〈0.01）. Peak systolic velocity increased after operation （P〈0.01）, while the resistance index and pulsatility index decreased significantly after operation （P〈0.01）. Pulsatility index and resistive index were significantly correlated with LH, LH/FSH ratio and testosterone, testosterone and LH/FSH ratio, respectively （P〈0. 05）. Conclusion Ovarian stromal blood flow measured by CDU can provide accurate, reliable and quantitative indicators to estimate the ovarian stromal blood-flow changes.
出处
《中国介入影像与治疗学》
CSCD
2009年第3期222-225,共4页
Chinese Journal of Interventional Imaging and Therapy
基金
广东省科技厅项目(2006B35930001)
关键词
超声检查
多普勒
彩色
多囊卵巢综合征
Ultrasonography, Doppler, color
Polycystic ovaries syndrome
