黄素化未破裂卵泡综合征患者卵巢血流动力学参数及血流指数特点  

The characteristics of ovarian hemodynamic parameters and blood flow indexes of women with luteinized unruptured follicle syndrome

作　　者：郭晓波 陈金玉 檀融融 GUO Xiaobo;CHEN Jinyu;TAN Rongrong(The 900th Hospital of Joint Logistic Support Force,Fuzhou Province,350002)

机构地区：[1]联勤保障部队第900医院,福州350002

出　　处：《中国计划生育学杂志》2021年第4期806-810,共5页Chinese Journal of Family Planning

摘　　要：目的:分析黄素化未破裂卵泡综合征(LUFS)患者卵巢血流动力学参数及血流指数变化及其预测价值。方法:选择2018年2月—2019年12月本院LUFS患者41例(85个周期)为LUFS组,排卵正常的不孕症患者76例(144个周期)为对照组。比较两组卵泡早期、卵泡中期、围排卵期卵巢动脉血流搏动指数(PI)、阻力指数(RI)、收缩期与舒张期末血流速度比值(S/D)及卵巢血管指数(VI)、血流指数(FI)及血管血流指数(VFI),分析各指标与LUFS的相关性及其预测效能。结果:对照组卵泡早期、卵泡中期、围排卵期功能侧卵巢动脉RI值、S/D值逐渐降低(P<0.001),PI值无差异(P>0.05);LUFS组卵泡中期、围排卵期功能侧卵巢动脉RI值低于卵泡早期(P<0.05),卵泡中期、围排卵期功能侧卵巢动脉RI值无差异(P>0.05),卵泡早期、卵泡中期、围排卵期PI值、S/D值无差异(P>0.05)。卵泡早期、卵泡中期、围排卵期功能侧卵巢动脉RI值及围排卵期S/D值LUFS组均大于对照组(P<0.05),卵泡早期、卵泡中期、围排卵期功能侧卵巢动脉PI值两组无差异(P>0.05)。两组卵泡早期、卵泡中期、围排卵期功能侧卵巢血流VI、FI、VFI逐渐升高且LUFS组低于对照组(P<0.05)。卵泡中期和围排卵期的卵巢动脉RI值、血流VFI与LUFS存在相关性(P<0.05),卵泡中期RI、围排卵期RI、VFI对LUFS有预测效能(P<0.001),其中围排卵期预测能力最佳,其截断值为1.97,提示排卵前卵巢血流VFI<1.97时最大可能发生LUFS。结论:LUFS患者卵巢动脉血流动力学及血流指数存在异常改变,监测卵巢血流可预测LUFS。Objective: To analyze the changes and predictive value of ovarian hemodynamic parameters and blood flow indexes of women with luteinized unruptured follicle syndrome(LUFS). Methods: 41 women with LUFS(85 cycles) were selected in study group, and 76 infertility women with normal ovulation(144 cycles) were selected in control group from February 2018 to December 2019. The values of ovarian arterial blood pulse index(PI), resistance index(RI), blood flow velocity ratio(S/D), ovarian blood vessel index(VI), blood flow index(FI), and blood vessel flow index(VFI) of the women during early follicular stage, middle follicular stage and periovulation stage were compared between the two groups. The correlation and predictive efficacy of the blood flow index of the women for the occurrence of LUFS were analyzed. Results: In the control group, the RI and S/D values of the ovarian artery on the functional side of the women in the early and mid follicular stages, and periovulation stage had decreased gradually(P<0.001), but the PI value had no change(P>0.05). In the study group, the RI value of the ovarian artery on the functional side of the women in the mid follicular and periovulation stages was significant lower than that of the women in the early follicular stage(P<0.05), and there was no significant difference in the RI value of the ovarian artery on the functional side of the women in the mid follicular and periovulation stages(P>0.05), and there were no significant differences in the PI and S/D values of the women in the early and mid follicular,and periovulation stages(P>0.05).The RI value of the women in the early and mid follicular stages,and periovulation stage,and the S/D value of the women in periovulation stage of the women in the study group were significant higher than those of the women in the control group(P<0.05),but the RI value of the women in the early and mid follicular stages,and periovulation stage had no significant different between the two groups(P>0.05).The VI,FI,and VFI values of the ovarian arte

关 键 词：黄素化未破裂卵泡综合征 超声 卵巢 血流动力学参数 血流指数 

分 类 号：R711.6[医药卫生—妇产科学]