腔内超声对卵巢储备功能下降患者促排卵治疗前后卵巢功能及妊娠率的观察

发布时间：2018-04-29 02:41

本文选题：彩色多普勒超声 + 卵巢储备功能下降　；参考：《实用医学杂志》2015年24期

【摘要】：目的:采用经阴道彩色多普勒超声检查观察卵巢储备功能下降(DOR)患者经促排卵治疗前后,卵巢功能及妊娠率的变化。方法:40例DOR患者于自然月经周期第2~3天测定基础性激素水平,同时经阴道彩色多普勒超声检测卵巢最大切面平均直径(MOD)、窦卵泡数(AFC)、卵巢间质动脉峰值流速(PSV)、阻力指数(RI),之后行促排卵治疗,超声监测卵泡发育,应用人绒毛膜促性腺激素(hCG)诱导排卵,记录HCG日优势卵泡数目及上述测量数值,指导同房或宫腔内人工授精(IUI)。结果 :促排卵治疗后卵巢MOD、AFC、PSV、RI和h CG日所获优势卵泡数及妊娠率均显著高于治疗前(P0.05)。结论:促排卵治疗有助于改善卵巢储备功能,获得优势卵泡,提高妊娠率。
[Abstract]:Objective: to observe the changes of ovarian function and pregnancy rate before and after ovulation promotion in patients with ovarian reserve dysfunction by transvaginal color Doppler ultrasound. Methods the basal sex hormone levels were measured in 40 patients with DOR on the 2nd day of the natural menstrual cycle. At the same time, transvaginal color Doppler ultrasound was used to detect the mean diameter of MOD, the number of antral follicles, the peak velocity of ovarian interstitial artery (PSV) and resistance index (RI). Then ovulation was treated with ovulation promotion, and follicle development was monitored by ultrasound. Human chorionic gonadotropin (hCGG) was used to induce ovulation, and the number of dominant follicles per day and the above measured values were recorded to guide the in-chamber or intrauterine artificial insemination of HCG. Results: the number of dominant follicles and the pregnancy rate of ovarian MODV AFCnP PSVN RI and hCG were significantly higher than those of P0.05 after ovulation stimulation. Conclusion: ovulation promotion therapy can improve ovarian reserve function, obtain dominant follicles and increase pregnancy rate.
【作者单位】：广州医科大学院附属第三医院超声医学科;
【基金】：广东省科技厅科研资助基金(编号:2010B31600300)
【分类号】：R445.1;R714.8

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