摘要
目的：探讨不孕症患者子宫内膜运动功能的周期性变化规律。方法：应用经阴道超声对84例不孕症患者的卵泡早期、卵泡中期、卵泡晚期以及黄体早期的子宫内膜运动分别作连续3min检测并录像，再应用计算机媒体播放软件对图像进行放大、快速播放，观测并记录子宫内膜运动的类型、运动频率、运动速度等指标。结果：84例患者336次检测中，显示运动278次（82.74%），无运动51次（15.18%），图像显示不清7次（2.08%）。共检测到7种运动类型。卵泡早期及中期、晚期、黄体早期子宫内膜运动发生率逐渐增高（P＜0.05）。不同时期子宫内膜运动类型的构成比不同，4个时期子宫内膜运动均以Ⅰ型为主，且卵泡早期至黄体早期子宫内膜Ⅰ型运动比例逐渐增加（P＜0.05）。卵泡期Ⅰ型运动传播时间逐渐缩短，黄体早期则显著延长（P＜0.05）。卵泡早期、中期运动频率较卵泡晚期低，卵泡晚期运动频率较黄体早期高（P＜0.05）。结论：子宫内膜运动功能发生周期性变化。经阴道超声及计算机媒体播放软件能直观、有效的检测子宫内膜运动功能。
Abstract
Objective: To evaluate the changes of the endometrial contractility during the menstrual cycle in patients with infertility. Methods: Real-time transvaginal ultrasound and advanced audio-visual and computer technology were used to evaluate the endometrial contraction throughout menstrual cycles in 84 patients with infertility. Movement type, frequency and speed were evaluated. Results: The percentage of scans with endometrial movements and non-movement and obscurity was 82.74%, 15.18%, 2.08% in the 336 examinations of 84 patients. The detection rate of endometrial movements was increased during the menstrual cycle(P＜0.05). Seven activity patterns were distinguished, which varied throughout the cycle(P＜0.05). The frequency and speed of the endometrial movement were increased during the follicular phase and decreased after ovulation(P＜0.05). Conclusions: Transvaginal ultrasound and advanced audio-visual and computer technology is effective and practicable in evaluation the endometrial movement. The movement of endometrial varied in accordance with the menstrual cycle.
关键词
不育 /
子宫内膜 /
超声检查
Key words
Infertility /
Endometrium /
Ultrasonography
叶旭萍;杨岳州;张 甦;钱春蓓;费敬英;朱慧敏.
不孕症患者子宫内膜运动功能的研究[J]. 中国临床医学影像杂志. 2008, 19(3): 186-188
YE Xu-ping;ＹANG Yue-zhou;ZHANG Su;QIAN Chun-bei;FEI Jing-ying;ZHU Hui-min.
Endometrial contractility during the menstrual cycle in the patients with infertility[J]. Journal of China Clinic Medical Imaging. 2008, 19(3): 186-188
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