经阴道超声观察哺乳期妇女子宫复旧、内膜和卵巢变化  

STUDY ON UTERINE INVOLUTION AND ENDOMETRIAL AND OVARY ALTERATION OF POSTPARTUM LACTATING WOMEN BY TRANS-VAGINAL ULTRASOUND(TVS)

作　　者：张海英[1] 覃爱萍[2] 韩萍 

机构地区：[1]广西壮族自治区计划生育研究服务中心,南宁530021 [2]广西医科大学第一附属医院妇产科 [3]广西人口和计划生育委员会

出　　处：《广西医科大学学报》2006年第1期46-47,共2页Journal of Guangxi Medical University

基　　金：广西科学研究与技术开发攻关项目资助(桂科攻9817097)

摘　　要：目的：通过经阴道超声（TVS），观察卵巢、内膜变化和子宫复旧情况，为产后妇女寻找最佳避孕节育措施时间提供科学依据。方法：对产后不同时期的155例哺乳期妇女，经TVS观察子宫大小、内膜厚度、卵巢和卵泡变化情况。结果：哺乳期妇女在产后42d内（产褥期）子宫体逐渐缩小可恢复至未孕状态；在产后42d、43～90d、91～150d、〉150d不同时间内可以测量到3～15mm子宫内膜厚度分别为12．20％、37．04％、51．16％、64．71％；产后3个月卵巢明显增大，同时有93．02％妇女卵巢内可观察到囊状卵泡。结论：产后哺乳妇女产褥期内子宫复旧，产褥期后可稳定在未孕状态，而子宫内膜出现周期性变化明显晚于子宫体的复旧；卵巢在产后3个月明显增大，同时大多数妇女可观察到囊状卵泡。建议产后哺乳期妇女选择适当的避孕措施以产褥期后为宜，落实长效避孕措施以产后3个月最佳。Objective：uterine involution and endometrial and ovary alteration in postpartum lactating women by ultrasound were explored in this study. Methods.We observed the size of uterus,the thickness of endometrium and the alteration of ovary and follicles of the 155 feeding women at different periods through TVS. Result：The matrix of lactating women could gradually dwindle and be resumed on the 42nd day postpartum; endometrium thickness varies from 3 to 15ram on the 42nd, 43rd-90th,91st-150th day postpartum and later days respectively at the rates of 12.2% ,37.64% ,51.16% ,64.71%. The ovary of 3rd month postpartum were obviously enlarged and antral follicles could be found in 93.02% of all the cases observed. Conclusion： Postpartum lactating women adopt appropriate conception control after childbed. The best time for long-term conception control is the 3rd month postpartum.

关 键 词：经阴道超声 哺乳期 子宫复旧 内膜 卵巢 卵泡 

分 类 号：R445.1[医药卫生—影像医学与核医学]