超声技术对子宫内膜容受性与复发性流产患者妊娠结局的相关性研究  

Endometrial Receptivity Factors and Unexplained Recurrent Abortion Patients' Pregnancy Results Bureau of Relevance Study

作　　者：杨丹[1] 杨洋 姚秀芬 Yang Dan;Yao Xiufen;Yang yang(Shaanxi University of Chinese Medicine;Department of Ultrasound,the Affiliated Hospital of Shaanxi University of Chinese Medicine,Xianyang Shaanxi 712000,China)

机构地区：[1]陕西中医药大学 [2]陕西中医药大学附属医院超声科,陕西咸阳712000

出　　处：《西藏医药》2018年第4期30-32,共3页Tibetan Medicine

基　　金：咸阳市科技计划(编号:2016K02-96)

摘　　要：目的应用三维能量多普勒超声(three-dimensional power Doppler ultrasound,3D-PDA)评估不明原因复发性流产(unexplained recurrent spontaneous abortion,URSA)患者子宫内膜容受性因素,探讨其与妊娠结局的关系。方法收集我院就诊的URSA患者30例,同时选取健康正常妊娠30例为对照组,比较两组子宫动脉血流频谱参数、子宫内膜厚度、子宫内膜容受性参数(子宫内膜容积和血管化血流参数VI、FI、VFI),探讨各项参数与妊娠结局的相关性。结果 30例URSA患者,子宫内膜容积小于对照组,血管化血流参数(血管指数VI、血流指数FI、血管血流指数VFI)与对照组有统计学差异,均明显低于对照组。而子宫内膜厚度及子宫动脉血流频谱参数与对照组无明显统计学差异。结论 3D-PDA有助于定量评估URSA患者子宫内膜容受性因素,子宫内膜容积及血管化血流参数(VI、FI、VFI)与患者妊娠结局有关,可一定程度预测妊娠结局;而子宫内膜厚度、子宫动脉血流频谱参数与妊娠结局无明显相关。Objective： To evaluate the factors of endometrial receptivity in patients with unexplained recurrent spontaneous abortion（URSA） using three-dimensional power Doppler ultrasound（3 D-PDA） and explore its relationship with pregnancy outcomes. relationship. METHODS： Thirty patients with URSA and 30 healthy controls were collected from our hospital. The uterine arterial flow parameters, endometrial thickness, endometrial receptivity parameters（endometrial volume and vascularized blood flow） were compared between the two groups. Parameters VI, FI, and VFI） explore the correlation between various parameters and pregnancy outcomes. Results： In 30 URSA patients, the endometrial volume was smaller than that of the control group. The vascularized blood flow parameters（vessel index VI, blood flow index FI, blood flow index VFI） were statistically different from those in the control group and were significantly lower than those in the control group.. The endometrial thickness and spectral parameters of uterine artery blood flow were not significantly different from the control group. Conclusion： 3 D-PDA is helpful for quantitative evaluation of endometrial receptivity factors in patients with URSA. Endometrial volume and vascularized blood flow parameters（VI, FI, VFI） are related to the patient＇s pregnancy outcome and can predict pregnancy outcome to some extent; The endometrial thickness, uterine artery blood flow parameters and pregnancy outcomes were not significantly related.

关 键 词：三维能量多普勒超声技术 不明原因复发性流产 子宫内膜容受性 

分 类 号：R445.1[医药卫生—影像医学与核医学] R714.21[医药卫生—诊断学]