经阴道彩色多普勒超声评价排卵障碍患者卵巢动脉血流动力学的价值  

Evaluation of Ovarian Artery Hemodynamics of Patients With Ovulation Disorder by Transvaginal Color Doppler Ultrasonography

作　　者：党伟 罗爱华[1] 吴田田 王建凤[2] 朱建琳 DANG Wei;LUO Aihua;WU Tiantian;WANG Jianfeng;ZHU Jianlin(Department of Ultrasound, Korla Hospital of the Second Division of Xinjiang Production and Construction Corps, Korla Xinjiang 841000, China;Department of Gynecology,Korla Hospital of the Second Division of Xinjiang Production and Construction Corps, Korla Xinjiang 841000, China)

机构地区：[1]新疆生产建设兵团第二师库尔勒医院超声科,新疆库尔勒841000 [2]新疆生产建设兵团第二师库尔勒医院妇科,新疆库尔勒841000

出　　处：《中国继续医学教育》2019年第15期71-74,共4页China Continuing Medical Education

摘　　要：目的分析使用经阴道彩色多普勒超声评价排卵障碍患者卵巢动脉血流动力学情况。方法选择2017年10月-2018年12月我院门诊需要监测排卵的60例妇女作为研究对象。按有无排卵,将其分为健康组和病例组,每组各30例。两组均采用经阴道彩色多普勒超声检查卵巢动脉血流参数,记录卵巢动脉收缩期峰值血流速度(PSV)、舒张期谷值血流速度(EDV)、搏动指数(PI)、阻力指数(RI)。结果与健康组相比,病例组的排卵前期内PSV以及EDV较低,PI较高,差异均具有统计学意义(t=2.417、3.291、2.356,P<0.05);病例组排卵期内PSV以及EDV较低,RI及PI较高,差异均具有统计学意义(t=5.571、16.327、16.830、11.577,P<0.05);排卵后期内,病例组的EDV较低,PI和RI较高,差异均具有统计学意义(t=10.803、4.995、4.316,P<0.05)。结论使用经阴道彩色多普勒超声用有助于评价排卵障碍患者卵巢动脉血流动力学情况,有助于日后治疗方案制定。Objective To evaluate the arterial blood flow of ovary in ovulatory disorder by using transvaginal ultrasonography. Methods 60 women who need to monitor ovulation in our hospital from October 2017 to December 2018 were selected as the research objects. They were divided into healthy group and case group according to whether they had ovulation or not, with 30 cases in each group. The blood flow parameters of ovarian artery were examined by transvaginal color Doppler ultrasound. The peak systolic blood flow velocity(PSV), diastolic Valley blood flow velocity(EDV), pulsation index(PI) and resistance index(RI) of ovarian artery were recorded. Results Compared with the healthy group, the PSV and EDV in the case group were lower and PI was higher in the pre-ovulation period(t=2.417, 3.291, 2.356, P<0.05). The PSV and EDV in the case group were lower, RI and PI were higher in the ovulation period(t=5.571, 16.327,16.830, 11.577, P < 0.05);in the late ovulation period, the EDV in the case group was lower, PI was higher. Compared with RI, the difference was statistically significant(t=10.803, 4.995, 4.316, P<0.05). Conclusion The use of transvaginal color Doppler ultrasonography is helpful to evaluate the ovarian artery hemodynamics in patients with ovulation disorders and to formulate future treatment plans.

关 键 词：彩色多普勒超声 检查 经阴道 卵巢动脉 排卵 

分 类 号：R196[医药卫生—卫生事业管理]