未破裂卵泡黄素化综合征的超声诊断  

Sonographic Diagnosis of Luteinized Unruptured Follicle Syndrome

作　　者：裴红[1] 姜宏[1] 倪丰[1] 

机构地区：[1]解放军第105医院生殖中心,安徽省合肥市230031

出　　处：《中国超声诊断杂志》2005年第3期190-192,共3页Chinese Journal of Ultrasound Diagnosis

摘　　要：目的　探讨经阴道超声 (TVS)在未破裂卵泡黄素化综合征 (L UFS)诊断中的价值。方法　应用经阴道超声对 4 95例 12 5 9个周期不孕妇女进行连续卵泡监测 (自然周期 74 2个、刺激周期 5 17个 )。结果　 12 5 9个周期中 ,发生 L UFS 5 4个周期 ,发生率 4 .2 9% (5 4 / 12 5 9) ,其中刺激周期发生率 5 .80 % (30 / 5 17) ,自然周期发生率 3.2 3% (2 4 / 74 2 ) ,重复出现率 2 0 .37% (11/ 5 4 ) ;36个周期发生在人工授精过程中 ,13个周期实施人工破泡术 ,均未获妊娠。结论　 TVS监测卵泡具有操作简便、安全无创、准确性高、可重复等特点 ,能动态观察卵泡的形态学改变 ,了解卵泡发育的全过程 ,对排卵障碍的治疗提供了有价值的资料。Objective To investigate the diagnostic value of luteinized unruptured follicle syndrome(LUFS) with transvaginal sonography (TVS).Methods In a total of 495 infertile women,follicles were monitored with serial TVS in 1 259 cycles (742 spontaneous cycles,517 stimulated cycles).Results The incidence of LUFS was 4.29% (54/1 259) and the recurrence rate was 20.37%(11/54)which were significantly higher in the stimulated cycles(5.80%) than in spontaneous cycles(3.23%) and 36 cycles occured in the artificial insemination,among which 13 cycles were punctured without any gestation.Conclusions TVS has advantages of convenience,safety,high accuracy and repetition,can explore the whole process of follicular growth by observing follicular morphological changes,and can provide worthy informations for ovulation obstacle therapy.

关 键 词：未破裂卵泡黄素化综合征 发生率 LUFS 超声诊断 自然周期 治疗 经阴道超声 刺激 无创 形态学改变 

分 类 号：R711.6[医药卫生—妇产科学] R271[医药卫生—临床医学]