三维超声在不同中医证型不孕症患者卵泡监测中的应用  

Application of three-dimensional ultrasound in follicle monitoring of infertility patients with various traditional Chinese medicine syndrome types

作　　者：杨智利[1] 赵锦洪 王玉 YANG Zhili;ZHAO Jinhong;WANG Yu(Department of Ultrasound Medicine,Jiangxi Provincial Maternal and Child Health Hospital,Jiangxi Province,Nanchang 330006,China;Medical Imaging Center,the Second Affiliated Hospital of Nanchang University,Jiangxi Province,Nanchang 330006,China)

机构地区：[1]江西省妇幼保健院超声医学科,江西南昌330006 [2]南昌大学第二附属医院医学影像中心,江西南昌330006

出　　处：《中国当代医药》2024年第19期69-72,共4页China Modern Medicine

基　　金：江西省中医药管理局科技计划项目(2020B0180)。

摘　　要：目的围绕不同中医证型不孕症患者,采用三维超声对其卵泡进行监测,评定其临床价值。方法选取2021年1月至2023年6月江西省妇幼保健院收治的80例不同中医证型不孕症患者作为研究对象,用三维超声评定其排卵类型及窦卵泡计数(AFC),并剖析不同证型患者相对应的卵泡监测特征。结果在不孕症患者中,肾虚证为最常见、最主要的一种中医证型;AFC预测卵巢储备功能,其中瘀滞胞宫者的卵巢储备功能下降最明显,痰湿阻滞者下降最少;肾阳亏虚者小卵泡排卵的例数最多;肝气郁滞者无论是正常排卵型、小卵泡排卵型还是无排卵型,均有较多例数。结论经三维超声检测得知,不孕症的证型主要为肾虚证,其与排卵障碍、卵泡发育之间存在紧密联系;肝郁气滞证与排卵障碍的发生紧密相关,具体表现为小卵泡排卵与卵泡黄素化不排卵;瘀滞胞宫证与卵巢储备功能的异常下降之间存在紧密联系;痰湿阻滞证通常与多囊卵巢综合征所致不孕有关联。Objective Three-dimensional ultrasound was used to monitor follicles of infertility patients with different traditional Chinese medicine syndrome types and evaluate their clinical value.Methods A total of 80 infertility patients with different traditional Chinese medicine syndrome types admitted to Jiangxi Provincial Maternal and Child Health Hospital from January 2021 to June 2023 were selected as research objects.Ovulation type and antral follicle count(AFC)were evaluated by three-dimensional ultrasound,and follicle monitoring characteristics corresponding to patients with different syndrome types were analyzed.Results Among infertility patients,kidney deficiency syndrome was the most common and the most important traditional Chinese medicine syndrome type.AFC predicted the ovarian reserve function,and the decrease of ovarian reserve function was the most obvious in the patients with stasis uterine syndrome and the least in the patients with phlegm-dampness block syndrome.The number of ovulation cases of small follicle in kidney-yang deficient patients was the most.There were more cases of normal ovulation,small follicular ovulation or anovulation in patients with liver qi depression.Conclusion It is found that the main type of infertility syndrome is kidney deficiency syndrome,which is closely related to ovulation disorder and follicle development.The syndrome of liver-qi stagnation is closely related to ovulation disorder,which is characterized by small follicular ovulation and follicular luteinization without ovulation.There is a close relationship between stasis uterine syndrome and abnormal decline of ovarian reserve function.Phlegm-dampness block syndrome is usually associated with infertility caused by polycystic ovary syndrome.

关 键 词：不孕症 三维超声 中医证型 卵泡监测 

分 类 号：R445.1[医药卫生—影像医学与核医学]