子宫和卵巢动脉血流动力学指标对黄素化未破裂卵泡综合征的诊断价值  

Diagnostic Value of Uterine and Ovarian Artery Hemodynamics in luteinized Unruptured Follicle Syndrome

作　　者：曹意苒 杨先婷 CAO Yi-ran;YANG Xian-ting(Department of Reproductive Medicine,Ankang Central Hospital,Ankang Shaanxi 725000)

机构地区：[1]安康市中心医院生殖医学科,陕西安康725000 [2]安康市中心医院产科,陕西安康725000

出　　处：《医学临床研究》2023年第1期92-94,共3页Journal of Clinical Research

摘　　要：[目的]探讨子宫和卵巢动脉血流动力学指标对黄素化未破裂卵泡综合征(LUFS)的诊断价值.[方法]选取2019年1月至2021年4月在本院就诊的67例LUFS患者(LUFS组),同时选取因男方不育就诊的70例正常排卵女性作为对照组,采用彩色多普勒超声检查子宫动脉、卵巢动脉的最大血流速度(PSV)、阻力指数(RI)等,分析其对LUFS的诊断价值.[结果]LUFS组围排卵期功能侧卵巢动脉PSV明显低于对照组(P<0.05),而RI明显高于对照组(P<0.05);围排卵期功能侧卵巢动脉PSV、RI诊断LUFS的受试者工作特征(ROC)曲线下面积分别为0.620和0.654,截断值分别为11.18 cm/s和0.40,灵敏性分别为64.00%和80.00%,特异性分别为60.00%和62.00%.[结论]LUFS患者围排卵期功能侧卵巢动脉PSV、RI与正常者有所差异,对LUFS诊断有重要的临床价值.【Objective】To investigate the diagnostic value of uterine and ovarian artery hemodynamics in luteinized unruptured follicle syndrome(LUFS).【Methods】A total of 67 LUFS patients who visited our hospital from January 2019 to April 2021 were selected,and 70 normal ovulating women who visited our hospital due to male infertility were selected as the control group.The maximum blood flow velocity(PSV)and resistance index(RI)of uterine and ovarian arteries were examined by color Doppler ultrasound,and their diagnostic value for LUFS was analyzed.【Results】PSV of functional ovarian artery in the LUFS group was significantly lower than that in the control group(P<0.05),while RI was significantly higher than that in the control group(P<0.05);The area under the ROC curve of the patients with LUFS diagnosed by PSV and RI in the functional ovarian artery during the periovulation period was 0.620 and 0.654 respectively,the cut-off values were 11.18 cm/s and 0.40 respectively,the sensitivity was 64.00%and 80.00%respectively,and the specificity was 60.00%and 62.00%respectively.【Conclusion】The PSV and RI of the functional ovarian artery in LUFS patients during the periovulatory period are different from those in normal controls,which has important clinical value in the diagnosis of LUFS.

关 键 词：不育 女性/诊断 综合征 子宫 卵巢 血流动力学 

分 类 号：R711.6[医药卫生—妇产科学]