阴道超声在不孕症治疗中的应用  

The application of ultrasound monitoring on follicle and endometrium in infertility treatment

作　　者：夏阳[1] 丁红[2] 李予[2] 马红霞[1] 李娜[1] 

机构地区：[1]广州医科大学第一附属医院中医科,广州510120 [2]中山大学附属第二医院妇产科,广州510120

出　　处：《广州医药》2013年第5期17-20,共4页Guangzhou Medical Journal

基　　金：广东省科技计划项目(2011B031800112)

摘　　要：目的探讨卵泡直径、子宫内膜厚度及形态与不孕症患者自然妊娠的关系。方法对不孕症患者定期行阴道超声检查，监测并分析卵泡直径及子宫内膜厚度、形态，寻找受孕最佳时机并给予指导。结果107例中成功排卵66例，妊娠38例受孕率占35．51％，其中妊娠38例中卵泡直径1．8—2．2cm者32例（84．21％），子宫内膜厚度0．9—1．2cm的30例（78．94％），内膜为A型妊娠率最高。结论卵泡直径大小及子宫内膜的厚度、形态与不孕症患者自然妊娠率有关，合适直径的卵泡及适宜的子宫内膜厚度、形态自然妊娠率较高。Objective Discussing the relationship about spontaneous pregnancy of patients with infertility and their follicular diameter, endometrial thickness and endometrial morphology. Methods Transvaginal ultrasound examination has been done to 107 patients with infertility regularly in order to monitor their follicular diameter, endometrial thickness and mor- phology; searching the best time of pregnacy and giving guidance to the patients. Results 66 patients ovulated successfully and 38 patients were pregnant. Rate was 35.51%. The follicular diameter between 1.8 to 2. 2cm were 32 （84. 21% ） and the en- dometrial thickness between 0. 9 to 1.2cm were 30 （78. 94% ） respectively in 38 cases. The highest pregnancy rate is endome- trim type A. Conclusion Spontaneous pregnancy rate of infertility patients is related to their follicular diameters, sizes and endometrial thicknesses and shapes. Ovarian follicle with proper diameter and endometrium with suitable thickness and shape will be contribute to higher spontaneous pregnancy rate.

关 键 词：不孕症受孕率 卵泡直径 子宫内膜厚度 

分 类 号：R711.6[医药卫生—妇产科学]