多模态超声对多囊卵巢综合征患者子宫内膜容受性的评估价值  

The evaluation value of multimodal ultrasound on endometrial receptivity of PCOS patients

作　　者：龙莎[1] 赵策瑶[1] 宋修玲 吴燕华[1] 龚静吉 LONG Sha;ZHAO Ce-yao;SONG Xiu-ling(Department of Ultrasound,Shenzhen Traditional Chinese Medicine Hospital,Shenzhen 518033,China;不详)

机构地区：[1]深圳市中医院超声科,广东深圳518033 [2]华中科技大学同济医学院附属同济医院妇产科,湖北武汉430030

出　　处：《中国医学装备》2021年第7期93-97,共5页China Medical Equipment

基　　金：广东省中医药局基金(20191274)“基于实时超声弹性成像技术评价调经促卵针刺法对卵巢早衰的疗效研究”。

摘　　要：目的:探讨多模态超声评分法对多囊卵巢综合征(PCOS)患者子宫内膜容受性的评估价值。方法:选取医院门诊确诊的50例PCOS患者,将其纳入PCOS组,另选同期常规孕前检查的60名健康育龄妇女纳入健康对照组,两组均于月经周期19~23 d应用经阴道超声进行常规二维超声检查,测量子宫内膜厚度,观察子宫内膜分型及血流灌注情况以及子宫内膜波动状态,并记录相关数据。启动三维超声采集容积数据,应用仪器内置软件勾画子宫内膜,获得子宫内膜容积和血管血流指数,参照子宫内膜多模态评分标准进行评分,并比较两组之间的差异。结果:PCOS组与健康对照组多模态超声观察指标中子宫内膜厚度、内膜容积、内膜分型、内膜波动模式、内膜及内膜-肌层结合带血流分布、血管血流指数的评分比较差异有统计学意义(x^(2)=28.328,x^(2)=38.646,x^(2)=29.413,x^(2)=38.508,x^(2)=30.850,x^(2)=30.075;P<0.001);PCOS组多模态超声综合评分为(9.87±1.56)分,明显低于健康对照组的(14.07±2.44)分,两组比较差异有统计学意义(t=12.468,P<0.001),PCOS组超声总评分在6~12分之间的有37例,13~18分之间的有13例。健康对照组总评分在6~12分之间的有16例,13~18分之间的有44例;PCOS组子宫内膜容受性明显低于健康对照组。结论:应用多模态超声评分法综合评价PCOS患者子宫内膜容受性准确可行,具有临床应用价值。Objective:To explore the evaluation value of multimodal ultrasound scoring method on endometrial receptivity of patients with polycystic ovarian syndrome(PCOS).Methods:50 PCOS patients who were confirmed in outpatient department of hospital were selected as the PCOS group,and 60 healthy women in childbearing age who received routine pre-pregnancy physical examination were selected as the normal control group.Both groups underwent routine 2-dimensional ultrasonography via transvaginal ultrasonography during 19-23 d of menstrual cycle for measuring the endometrial thickness,observing the somatotype of endometrium,the situation of blood perfusion,and the fluctuation state of endometrium,and recording the related data.And then,the 3-dimensional ultrasound was started to collect volume data,and the built-in software of the instrument was used to sketch the endometrium,and the endometrial volume and vascular blood flow index were obtained.According to the endometrial multimodal scoring standard to score,and the differences of them between the two groups were compared.Results:The differences of the scores of the observed indicators of multimodal ultrasound,which included endometrial thickness,endometrial volume,somatotype of endometrium,endometrial fluctuation mode,blood flow distribution of endometrium and endometrium-myometrial junction zone,and vascular blood flow index,between PCOS group and normal control group were significant(x^(2)=28.328,x^(2)=38.646,x^(2)=29.413,x^(2)=38.508,x^(2)=30.850,x^(2)=30.075,P<0.001).The comprehensive score of multimodal ultrasound of PCOS group was(9.87±1.56),which was significantly lower than that(14.07±2.44)of normal control group(t=12.468,P<0.05).In the PCOS group,the total score of ultrasound of 37 cases were between 6 and 12,and that of 13 cases were between 13 and 18.In the normal control group,the total score of 16 cases were between 6 and 12,and that of 44 cases were between 13 and 18.It is suggested that the endometrial receptivity of the PCOS group was significantly lower

关 键 词：多囊卵巢综合征(PCOS) 超声 子宫内膜容受性 

分 类 号：R445.1[医药卫生—影像医学与核医学]