摘要
目的探讨子宫内膜、卵巢的三维超声能量多普勒血流参数在预测体外受精-胚胎移植(IVFET)妊娠结局方面的价值。方法选择接受IVF-ET治疗的69例患者,其中妊娠组28例,未妊娠组41例,分别比较妊娠组和非妊娠组的临床特征以及子宫内膜、卵巢的三维超声能量多普勒血流参数。结果 (1)妊娠组与非妊娠组患者的基本特征、基础卵泡刺激素(b FSH)、促排卵药物用量、黄体生成素(LH)峰日雌二醇(E2)值、平均移植胚胎数等指标,差异均无统计学意义(P>0.05)。(2)妊娠组与未妊娠组人绒毛膜促性腺激素(h CG)注射日子宫内膜厚度、内膜血管化指数(VI)、血流指数(FI)、血管化-血流指数(VFI)及卵巢体积、卵巢FI均无统计学差异(P>0.05),卵巢VI、VFI组间有统计学差异(P<0.05)。结论子宫内膜厚度、卵巢体积、内膜VI、FI、VFI及卵巢FI不能作为预测IVF-ET妊娠结局的评价指标,卵巢的三维能量参数VI、VFI对妊娠结局的预测有一定的参考价值。
Objective To investigate the clinical value of the parameters of three-dimensional power Doppler uItrasound in endometrium and ovary in predicting the pregnancy outcome of in vitro fertilization and embryo transfer （IVF-ET）.Methods Sixty-nine patients who undergoing IVF-ET were recruited and assigned into pregnancy group （28 cases） and non-pregnancy group （41 cases）. All their clinical characteristics and the the parameters of three-dimensional power Doppler ultrasound in endometrium and ovary were obtained and compared.Results 1） The demographic characteristics, basal follicle stimulating hormone （bFSH）, ovarian stimulating drug doses, luteotropic hormone （LH） day estradiol levels and the number of implanted embryos showed no differences between the pregnancy and non-pregnancy groups （P〉0.05）. 2） There were no significant differences between pregnancy and non-pregnancy groups in endometrial thickness, endometrial vascularity indices and ovarian volume, ovarian flow index （FI） （P〉0.05）. There were statistically significant differences between pregnancy and non-pregnancy groups in ovarian vascularization index （VI） and vascularization flow index （VFI） （P〈0.05）.Conclusion The endometrial thickness, endometrial vascularity indices and ovarian volume, ovarian FI cannot predict the pregnancy outcome. The ovarian VI, VFI are partially served to predict the pregnancy outcome.
出处
《中华生殖与避孕杂志》
CAS
CSCD
北大核心
2017年第5期396-398,共3页
Chinese Journal of Reproduction and Contraception
关键词
三维超声能量多普勒参数
子宫内膜
卵巢
妊娠结局
Parameters of three-dimensional power Doppler ultrasound
Endometrium
Ovary
Pregnancy outcome
