160例多囊卵巢综合征螺旋动脉彩超检查结果分析  

Examination result of spiral artery color doppler ultrasound in 160 cases with polycystic ovary syndrome

作　　者：王颖[1] 唐静[1] 陶珍[1] 

机构地区：[1]深圳市蛇口人民医院超声诊断科,广东深圳518000

出　　处：《现代医学》2016年第2期154-157,共4页Modern Medical Journal

基　　金：深圳市宝安区科技计划社会公益项目(2013247)

摘　　要：目的:观察多囊卵巢综合征(PCOS)螺旋动脉彩色多普勒超声(彩超)检查结果,分析影响子宫内膜血流变化的相关因素。方法:选取160例PCOS患者为观察组、100例健康育龄期体检妇女为对照组,采用经阴道彩超检查两组研究对象子宫内膜厚度及子宫螺旋动脉血流改变情况,探讨影响PCOS患者子宫内膜血流变化的相关因素。结果:观察组中49例子宫内膜增生患者子宫内膜厚度高于对照组,子宫螺旋动脉搏动指数(PI)和阻力指数(RI)均低于对照组,动脉血流收缩期峰值流速(PSV)高于对照组(P<0.05);观察组中肥胖、胰岛素抵抗、高雄激素血症患者RI及PI均分别低于非肥胖、非胰岛素抵抗、非高雄激素血症患者,动脉血流PSV高于非肥胖、非胰岛素抵抗、非高雄激素血症患者(P<0.05)。结论:PCOS患者存在子宫内膜增厚的情况,子宫内膜血流受到肥胖、胰岛素抵抗及雄激素水平等因素的影响,通过彩超检查能够较好地检测PCOS患者子宫内膜血流变化情况,反馈子宫内膜功能及容受性变化。Objective： To observe and analyze the result of spiral artery color doppler ultrasound examination in patients with polycystic ovary syndrome. Methods： One hundred and sixty patients with polycystic ovary syndrome were selected as the observation group. One hundred cases of healthy women at the childbearing age were selected as the control group. The thickness of the endometrium and the changes of the spiral blood flow of the uterine artery of patients in the two groups were examined by transvaginal color doppler,and the related factors of endometrial blood flow changes of patients with polycystic ovary syndrome were also explored. Results： The endometrial thickness of patients with endometrial hyperplasia in the observation group was higher than that in the control group,and uterine spiral artery pulsatile index（ PI） and resistance index（ RI） were lower than those of the control group. The peak systolic velocity（ PSV） of arterial blood flow was higher than that of the control group. The differences were statistically significant（ P 0. 05）. RI and PI of the obese patients,the insulin resistance patients and patients with hyperandrogenism of the observation group were respectively higher than those of the non-obese patients,non-insulin resistance patients,patients without hyperandrogenism. Artery PSV was higher than that of non- obese patients,insulin resistance patients and patients without hyperandrogenism,showing statistically significant difference（ P 0. 05）. Conclusion： Patients with polycystic ovary syndrome have the increase of endometrial thickness. Endometrial blood flow is affected by the factors such as obesity,insulin resistance and androgen levels. The changes of endometrial blood flow in patients with polycystic ovary syndrome can be detected by color Doppler,which can feedback endometrial function and the change of its receptivity.

关 键 词：多囊卵巢综合征 子宫内膜 彩色多普勒超声 

分 类 号：R711.75[医药卫生—妇产科学]