经阴道彩色多普勒超声对诱导排卵子宫内膜容受性的评价被引量：4

Assessment of endometrial receptivity detected by transvaginal color Doppler flow imaging in patients treated with ovulation induction

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摘要目的探讨经阴道彩色多普勒超声评价诱导排卵患者子宫内膜容受性的临床价值。方法将53例无排卵不孕患者分为中药+尿促性素(HMG)组28例(67个周期),HMG组25例(66个周期)。应用经阴道彩色多普勒超声检测治疗后子宫内膜厚度、类型及子宫动脉血流动力学各项参数。结果妊娠组与非妊娠组及中药+HMG与HMG组人绒毛膜促性腺激素注射日子宫内膜厚度、类型及子宫动脉血流动力学参数搏动指数、阻力指数比较,差异有显著性意义(P<0.05)。结论经阴道彩色多普勒超声检测子宫内膜厚度、类型及子宫动脉血流动力学参数可作为评估子宫内膜容受性的指标,补肾中药能提高HMG诱导排卵周期的子宫内膜容受性。 Objective To investigate the clinical value of endometrial receptivity detected by transvaginal color Doppler flow imaging（TV-CDFI） in patients treated with ovulation induction. Methods Fifty-three anovulation patients were divided into two groups at random, 28 cases （67 cycles） in the combined group treated with traditional Chinese medicine and human menopausal gonadotropin（HMG）, and 25 cases（66 cycles） in the HMG group were treated with HMG alone. The endometrial thickness, patterns and the parameters of the uterine artery blood flow were detected by TV-CDFI. Results There were significant differences between the conception and non-conception group, and between the combined group and the HMG group in endometrial thickness, patterns and the parameters of the uterne artery blood flow on the day of HCG injection（ P〈0.05）. Conclusions Endometrial thickness, patterns and parameters of uterine artery blood flow detected by TV-CDFI can be used as an index of endometrial receptivity, and traditional Chinese medicine for tonifying kidney can improve the endometrial receptivity in the anovulation cycles induced by HMG.

作者张建伟姜先洲连方

机构地区山东中医药大学附属医院妇科山东大学齐鲁医院泌尿外科

出处《中华超声影像学杂志》 CSCD 2005年第9期678-681,共4页 Chinese Journal of Ultrasonography

关键词经阴道彩色多普勒超声排卵期子宫内膜容受性血流动力学排卵障碍 Endosonography Ovulation induction Endometrium Hemodynamics

分类号 R445.1 [医药卫生—影像医学与核医学]

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1Kolibianakis E,Bourgain C,Albano C,et al.Effect of ovarian stimulation with recombinant follicle-stimulating hormone,gonadotropin releasing hormone antagonist.,and human chorionic gonadotropin on endometrial maturation on the day of oocyte pick-up.Fertil Steril,2002,78:1025-1029.
2Dickey RP,Olar TT,Taylor SN,et al.Relationship of endometrial thickness and pattern to fecundity in ovulation induction cycles:effect of clomiphene citrate alone and with human menopausal gonadotropin.Fetil Steril,1993,59:756-760.
3Ardaens Y,Leroy M,Lefebvre C,et al.Color echo-Doppler and endometrial receptivity in in vitro fertilization.Contracept Fertil Sex,1998,26:485-491.
4Isaacs JD Jr,Wells CS,Williams DB,et al.Endometrial thickness is a valid monitoring parameter in cycles of ovulation induction with menotropins alone.Fetil Steril,1996,65:262-266.
5Gonen Y,Casper RF.Prediction of implantation by the sonographic appearance of the endometrium during controlled ovarian stimulation for in vitro fertilization(IVF).J In Vitro Fert Embyro Transf,1990,7:146-152.
6Steer CV,Tan SL,Dillon D,et al.Vaginal color Doppler assessment of uterine artery impedance correlates with immunohistochemical markers of endometrial receptivity required for the implantation of an embryo.Fetil Steril,1995,63:101-108.
7Steer CV,Campbell S,Tan SL,et al.The use of transvaginal color flow imaging after in vitro fertilization to identify optimum uterine conditions before embryo transfer.Fetil Steril,1992,57:372-376.