超声影像学评价对促排卵后妊娠结局的预测作用

doi:10.3969/j.issn.10073205.2019.03.017

摘要/Abstract

摘要： ［摘要］〓
〖HTH〗目的〖HTSS〗〖KG*2〗通过超声观察接受控制性促排卵方案（control ovarian stimulation,COS）助孕患者子宫内膜容受性及卵巢内卵泡储备影像学特点，分析超声评估对不孕患者妊娠结局的预测作用。
〖HTH〗方法〖HTSS〗〖KG*2〗回顾性分析接受COS治疗的不孕症患者209周期的相关资料。根据妊娠结局分为妊娠组（30周期）和未妊娠组（未妊娠者中随机选取30周期），比较2组子宫内膜厚度、子宫内膜类型、子宫内膜容积、卵巢体积、窦卵泡数以及排卵前最大卵泡直径。根据内膜厚度分为＜8 mm、8~14 mm、＞14 mm组，根据内膜类型分为A型、B型、C型组，根据内膜容积分为＜2 mL、2~4 mL、＞4 mL，根据卵巢体积分为＜3 cm3、3~6 cm3、＞6 cm3，根据窦卵泡数分为＜5个、5~15个、＞15个，比较各组妊娠率。
〖HTH〗结果〖HTSS〗〖KG*2〗妊娠组子宫内膜厚度和内膜容积均大于未妊娠组，妊娠组子宫内膜形态A型较多，未妊娠组子宫内膜形态C型较多，妊娠组卵巢体积、窦卵泡数明显大于或多于未妊娠组，差异有统计学意义（P＜005）； 2组人绒毛膜促性腺激素日最大卵泡直径差异无统计学意义（P＞005）。子宫内膜厚度8~14 mm组妊娠率明显高于＜8 mm、＞14 mm组，子宫内膜A型组妊娠率明显高于B型、C型组，子宫内膜容积＞4 mL组妊娠率明显高于＜2 mL、2~4 mL组，卵巢体积3~6 cm3组妊娠率明显高于＜3 cm3、＞6 cm3组，卵泡数5~15个组妊娠率明显高于＜5个、＞15个组，差异均有统计学意义（P＜005）。
〖HTH〗结论〖HTSS〗〖KG*2〗对于接受COS治疗的不孕患者，超声监测子宫内膜厚度8~14 mm、子宫内膜容积＞4 mL、子宫内膜类型A型、卵巢体积3~6 cm3、窦卵泡数5~15个时妊娠的概率更大。

关键词: 不育, 女(雌)性, 妊娠结局, 排卵诱导, 超声检查

Abstract: ［Abstract］〓Objective〖HTSS〗〓To analyze the predictive effect of ultrasonography on pregnancy outcomes of infertile women by observing the intraovarian follicle reserve imaging characteristics and endometrial receptivity of infertile women receiving controlled ovarian stimulation(COS) via ultrasonography.
〖HTH〗〖WTHZ〗Methods〖HTSS〗〓Retrospective analysis the related data of 209 cycles were taken from infertile patients treated with COS. According to the pregnancy outcome, the cycles were divided into the pregnancy group(30 cycles) and the nonpregnant group(30 cycles randomly selected from the nonpregnant patients). The endometrial thickness, endometrial type, endometrial volume, ovarian volume, number of antral follicles and the maximum diameter of follicles before ovulation of both groups were compared. The 60 cycles were divided into group＜8 mm, group 8-14 mm, and group＞14 mm, according to the endometrial thickness; type A, type B, and type C, according to the endometrial type; group＜2 mL group 2-4 mL and group＞4 mL, according to the endometrial volume; group＜3 cm3, group 3-6 cm3, and group＞6 cm3 ,according to the ovarian volume; group＜5, group 6-15 and group ＞15, according to the number of antral follicles. The pregnancy rates of each group were compared.
〖HTH〗〖WTHZ〗Results〖HTSS〗〓The endometrial thickness and endometrial volume of the pregnant group were higher than those of the nonpregnant group. In the pregnant group，the endometrial morphology type A was in the majority, while in the nonpregnant group, the endometrial morphology type C was in the majority; the ovarian volume and the number of antral follicles in the pregnant group were significantly higher than those of the nonpregnant group, the differences above were statistically significant(P＜005). There was no significant difference in the maximum follicle diameter on the day of human chorionic gonadotropin injection between the two groups(P＞005). The pregnancy rate of the endometrial thickness 8-14 mm group was significantly higher than that of the group＜8 mm and group＞14 mm; the pregnancy rate of endometrial type A group was significantly higher than that of type B and type C; the pregnancy rate of endometrial volume＞4 mL group was significantly higher than that of group ＜2 mL and group 2-4 mL; the pregnancy rate of ovarian volume 3-6 cm3 group was significantly higher than that of group＜3 cm3 and group ＞6 cm3 , and the pregnancy rate of 5-15 follicles group was significantly higher than that of group＜5 and group＞15, the differences above were statistically significant(P＜005).
〖HTH〗〖WTHZ〗Conclusion〖HTSS〗〓For infertility patients receiving COS treatment，the ones with endometrial thickness between 8-14 mm, endometrial volume greater than 4 ml, endometrium type A， ovaria volume between 3-6 cm3 and the number of antral follicles between 5-15 are more likely to get pregnant.

Key words: infertility, female, pregnancy outcome, ovulation induction, ultrasonography

张志峰1，赵双丹2，曹明雅2，崔晓莉2，贾〓蕊2，赵志明2*. 超声影像学评价对促排卵后妊娠结局的预测作用[J]. 河北医科大学学报, doi: 10.3969/j.issn.10073205.2019.03.017.

ZHANG Zhifeng1， ZHAO Shuangdan2， CAO Mingya2， CUI Xiaoli2， JIA Rui2， ZHAO Zhiming2*. Predictive effect of ultrasound imaging evaluation on pregnancy outcome after ovulation induction#br#[J]. Journal of Hebei Medical University, doi: 10.3969/j.issn.10073205.2019.03.017.

[1]	樊秀梅, 杨丽, 赵岗, 霍森烨, 冷慧敏. 超声评估子宫内膜下的RI、PI、PSV值预测不孕患者子宫内膜状况及卵巢储备功能的研究 [J]. 河北医科大学学报, 2023, 44(9): 1047-1052.
[2]	陈然, 肖彬, 管鑫, 乔金莹. 甲基化酶DNMT3B、叉头框蛋白C1与宫颈癌超声特征的相关性分析[J]. 河北医科大学学报, 2023, 44(9): 1093-1098.
[3]	温莉, 张涛, 王坤. 超声剪切波频散成像术前评估肝细胞肝癌患者肝纤维化的初步临床研究 [J]. 河北医科大学学报, 2023, 44(8): 956-960.
[4]	易绍龙, 黄虎, 张延林. 床旁超声指导下的液体复苏疗法治疗ICU脓毒症患者的临床效果 [J]. 河北医科大学学报, 2023, 44(7): 803-808.
[5]	黄容, 李丹, 庞皓文, 杜秀举, 陈霄, 文庆莲. 妇科恶性肿瘤调强放疗中盆腔淋巴结引流区勾画研究[J]. 河北医科大学学报, 2023, 44(7): 830-835.
[6]	李俊青, 李丹, 柴建爽, 王彦, 宋志俊, 李海芬. 脑颈动脉超声一体化在颈动脉内膜切除术围手术期的应用价值 [J]. 河北医科大学学报, 2023, 44(7): 844-850.
[7]	王建爽, 张海静, 王雪松, 文颖, 周子敬. 两种子宫动脉栓塞方式联合超声监控下D＆C治疗CSP的疗效分析 [J]. 河北医科大学学报, 2023, 44(5): 579-583.
[8]	朱小兵, 吴论, 杨桐, 张喜洋. 超声引导腹外斜肌平面阻滞用于上腹部手术患者术后镇痛的效果 [J]. 河北医科大学学报, 2023, 44(5): 584-588.
[9]	夏涛, 巫敏, 毛培明, 杨秋实, 晏如意, 秦榕鲜. 四维超声子宫输卵管造影评估女性不孕症的价值 [J]. 河北医科大学学报, 2023, 44(3): 334-337.
[10]	梁冰, 徐辉. 超声引导下婴幼儿心脏手术颈内静脉置管深度的测量定位研究[J]. 河北医科大学学报, 2023, 44(3): 342-346.
[11]	张登所（综述）, 李俊（审校）. 无精子症常见病因与治疗相关研究进展 [J]. 河北医科大学学报, 2023, 44(3): 364-368.
[12]	秦聪颖, 刘丽娟, 曹淑新, 李娟. 基于MRI、彩色超声检测技术评价穿透性凶险型前置胎盘的影像特征及预测价值 [J]. 河北医科大学学报, 2023, 44(2): 203-207,240.
[13]	陶秀婷, 顾仕贤, 周达磊, 周媛. 不同入路腰方肌阻滞对腹腔镜直肠癌根治术患者术后的镇痛效果的影响 [J]. 河北医科大学学报, 2023, 44(2): 236-240.
[14]	刘晨冰, 穆正青, 徐长松. 基于超声检查与血脂相关指标构建子宫肌瘤发病的预测模型及其价值验证 [J]. 河北医科大学学报, 2023, 44(11): 1322-1327.
[15]	郝雅丽, 白小双（综述）, 康山（审校）. GRHL2与雌激素相关性肿瘤发展关系的研究进展 [J]. 河北医科大学学报, 2023, 44(11): 1354-1359.

超声影像学评价对促排卵后妊娠结局的预测作用

Predictive effect of ultrasound imaging evaluation on pregnancy outcome after ovulation induction#br#

HTML

PDF (PC)

可视化

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 15

编辑推荐

Metrics

本文评价