反复自然流产患者子宫内膜容受性的超声评价  

Evaluation of endometrial receptivity in patients with recurrent spontaneous abortion using color Doppler ultrasound

作　　者：何培芝[1] 叶妮[1] 王蓉[2] 张敏[1] 

机构地区：[1]上海中医药大学附属曙光医院妇产科,上海市200000 [2]上海中医药大学附属曙光医院超声科,上海市200000

出　　处：《临床超声医学杂志》2017年第6期387-390,共4页Journal of Clinical Ultrasound in Medicine

摘　　要：目的应用彩色多普勒超声检测反复自然流产患者子宫内膜容受性情况,探讨其与妊娠结局的关系。方法收集我院就诊的反复自然流产患者60例,根据是否妊娠分为妊娠组22例与非妊娠组38例,测量并比较两组子宫内膜血流分布情况、各血流动力学参数。结果 22例妊娠组中内膜及内膜下均有血流分布者13例(59.1%),38例非妊娠组中内膜及内膜下均有血流分布者5例(13.2%),二者比较差异有统计学意义(P<0.05);妊娠组子宫螺旋动脉搏动指数、阻力指数及收缩期峰值血流速度与舒张末期血流速度比值均显著低于未妊娠组,差异均有统计学意义(P<0.05),但两组间子宫内膜厚度、容积,以及子宫动脉搏动指数、阻力指数及收缩期峰值血流速度与舒张末期血流速度比值比较差异均无统计学意义。结论彩色多普勒超声对子宫内膜容受性的评价具有一定作用;子宫内膜血流分布情况和螺旋动脉血流参数对妊娠结局有一定的预测价值。Objective To investigate the relationship between the outcome of pregnancy in patients with recurrent spontaneous abortion and the endometrial receptivity using color Doppler ultrasound. Methods Sixty patients with recurrent spontaneous abortion were collected. The patients were divided into pregnant group（n=22） and non-pregnant group（n=38）.They underwent the measurement of many ultrasound parameters.The blood flow distribution status and the endometrial blood flow parameters in the endometrial and subendometrial area were analyzed and compared. Results The rate of the blood flow distribution status in the endometrial and subendometrial area were higher in pregnant group（13 cases,59.1%） than that in non-pregnant group（5 cases,13.2%）,there was significant difference（P〈0.05）. PI,RI,S/D of uterine spiral artery were lower in pregnant group than those in non-pregnant group（all P〈0.05）,but there were no significant differences in endometrial thickness , volume and PI,RI,S/D of uterine artery. Conclusion Color Doppler ultrasound is valuable for evaluation in endometrial receptivity. The blood flow distribution status and uterine spiral artery blood parameters are good predicators for pregnancy.

关 键 词：超声检查 多普勒 彩色 自然流产 反复 子宫动脉 子宫螺旋动脉 

分 类 号：R714.21[医药卫生—妇产科学] R445.1[医药卫生—临床医学]