Value of color Doppler ultrasonography in evaluation of endometrial thickness and ovarian hemodynamics of patients with polycystic ovary syndrome
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摘要: 目的 探讨彩色多普勒超声检查评估多囊卵巢综合征患者子宫内膜厚度及卵巢血流动力学的价值。 方法 选取140例多囊卵巢综合征患者为观察组,另选取80例月经正常者为对照组。2组均行彩色多普勒超声检查,比较2组子宫内膜厚度、血流阻力指数(RI)、收缩期峰值血流速度(PSV)。 结果 观察组子宫内膜厚度、PSV大于对照组,卵巢血流RI小于对照组,差异有统计学意义(P<0.05)。观察组患者中,停经时间越长,子宫内膜厚度越大,血流RI越低, PSV越高,差异有统计学意义(P<0.05)。促排卵成功患者子宫内膜厚度大于促排卵失败患者, RI、PSV均小于促排卵失败患者,差异有统计学意义(P<0.05)。 结论 彩色多普勒超声检查多囊卵巢综合征有较高的应用价值,可监测子宫内膜厚度及卵巢血流状况,为临床治疗提供可靠的依据。Abstract: Objective To analyze the value of color Doppler ultrasonography in the evaluation of endometrial thickness and ovarian hemodynamics of patients with polycystic ovary syndrome. Methods A total of 140 patients with polycystic ovary syndrome were included in obser vation group, and 80 healthy women with normal menstruation were selected as control group. Both groups underwent color Doppler ultrasonography. The endometrial thickness, blood flow resistance index(RI), peak systolic velocity(PSV)of blood flow in two groups were observed. Results The obser vation group had thicker endometrial thickness, and lower RI of ovarian blood flow than the control group, and PSV was higher than that of the control group, which showed significant differences(P<0.05). The longer the menopause time in the obser vation group lasted, the thicker the endometrial thickness was, the lower RI of blood flow was, and the higher the PSV would be, there were significant differences(P<0.05). The patients with successful ovulation promotion treatment had thicker endometrial thickness, and lower RI as well as PSV than those who failed, and significant differences were found in these patients(P<0.05). Conclusion Color Doppler ultrasonography has a higher value, it can monitor the endometrial thickness and ovarian hemodynamics, and provides a reliable basis for treatment of polycystic ovary syndrome.
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