中华临床医师杂志（电子版）
中華臨床醫師雜誌（電子版）
중화림상의사잡지（전자판）
CHINESE JOURNAL OF CLINICIANS(ELECTRONIC VERSION)
2013年
9期
3782-3785
,共4页
李江涛%曹金丽%程传生%李霞
李江濤%曹金麗%程傳生%李霞
리강도%조금려%정전생%리하
超声检查,多普勒,彩色%成像,三维%胚胎移植%子宫内膜%移植时机
超聲檢查,多普勒,綵色%成像,三維%胚胎移植%子宮內膜%移植時機
초성검사,다보륵,채색%성상,삼유%배태이식%자궁내막%이식시궤
Ultrasonography,Doppler,color%Imaging,three-dimensional%Embryo transfer%Endometrium%Timing of transplantation
目的评价经阴道三维（3D）彩色多普勒超声测定子宫内膜的形态、厚度、容积、内膜及内膜下血流指数预测子宫内膜容受性对选择冻胚解冻移植（ FET）时机的作用。方法对110例行FET的患者移植日子宫内膜的形态、厚度、容积、内膜及内膜下血流分型及血流指数进行经阴道三维超声测定。根据临床妊娠与否分为两组，比较上述指标在两组之间有无差异。结果110例患者中临床妊娠44例，临床妊娠率为40％，妊娠组与未妊娠组间虽子宫内膜的厚度、容积差异无统计学意义（ P＞0.05），但子宫内膜容积＜2.0 ml的4例患者，无一例妊娠。妊娠组与未妊娠组间子宫内膜形态、内膜及内膜下血流分型差异有统计学意义（ P＜0.05），妊娠组子宫内膜S/D、PI、RI低于未妊娠组，差异有统计学意义（ P＜0.05）。结论通过阴道三维彩色多普勒超声测定子宫内膜形态、容积、内膜及内膜下血流分型、血流动力学参数可以预测子宫内膜容受性，对临床选择FET移植时机有指导价值。
目的評價經陰道三維（3D）綵色多普勒超聲測定子宮內膜的形態、厚度、容積、內膜及內膜下血流指數預測子宮內膜容受性對選擇凍胚解凍移植（ FET）時機的作用。方法對110例行FET的患者移植日子宮內膜的形態、厚度、容積、內膜及內膜下血流分型及血流指數進行經陰道三維超聲測定。根據臨床妊娠與否分為兩組，比較上述指標在兩組之間有無差異。結果110例患者中臨床妊娠44例，臨床妊娠率為40％，妊娠組與未妊娠組間雖子宮內膜的厚度、容積差異無統計學意義（ P＞0.05），但子宮內膜容積＜2.0 ml的4例患者，無一例妊娠。妊娠組與未妊娠組間子宮內膜形態、內膜及內膜下血流分型差異有統計學意義（ P＜0.05），妊娠組子宮內膜S/D、PI、RI低于未妊娠組，差異有統計學意義（ P＜0.05）。結論通過陰道三維綵色多普勒超聲測定子宮內膜形態、容積、內膜及內膜下血流分型、血流動力學參數可以預測子宮內膜容受性，對臨床選擇FET移植時機有指導價值。
목적평개경음도삼유（3D）채색다보륵초성측정자궁내막적형태、후도、용적、내막급내막하혈류지수예측자궁내막용수성대선택동배해동이식（ FET）시궤적작용。방법대110례행FET적환자이식일자궁내막적형태、후도、용적、내막급내막하혈류분형급혈류지수진행경음도삼유초성측정。근거림상임신여부분위량조，비교상술지표재량조지간유무차이。결과110례환자중림상임신44례，림상임신솔위40％，임신조여미임신조간수자궁내막적후도、용적차이무통계학의의（ P＞0.05），단자궁내막용적＜2.0 ml적4례환자，무일례임신。임신조여미임신조간자궁내막형태、내막급내막하혈류분형차이유통계학의의（ P＜0.05），임신조자궁내막S/D、PI、RI저우미임신조，차이유통계학의의（ P＜0.05）。결론통과음도삼유채색다보륵초성측정자궁내막형태、용적、내막급내막하혈류분형、혈류동역학삼수가이예측자궁내막용수성，대림상선택FET이식시궤유지도개치。
Objective To evaluate the role of transvaginal three-dimensional(3D)color Doppler ultrasound measurements of endometrial pattern ,endometrial thickness ,endometrial volume ,endometrium and endometrial blood distribution patterns and flow index in predicting endometrial receptivity to help to select timing of freezing embryo transfer(FET).Methods 110 FET patients were recruited.Transvaginal three-dimensional color Doppler ultrasound examination was performed to determine endometrial pattern , endometrial thickness , endometrial volume , the blood flow distribution patterns,pulsatility index(PI),resistance index(RI),systolic/diastolic ratio(S/D)of endometrial and subendometrial blood flows on the transplanted day of FET .Based on the clinical pregnancy or not ,patients were divided into two groups .The comparison of these indicators were carried out between pregnant group and non pregnant group.Results In the 110 FET cases,the clinical pregnancy was 44 cases,the clinical pregnancy rate was 40%. There were no significant difference ( P>0.05 ) between the pregnant group and non-pregnant group in endometrial thickness and endometrial volume .In the endometrial volume subgroup <2 ml,no one was pregnant in 5 patients.The endometrial pattern ,endometrial and subendometria blood flows had statistical difference ( P<0.05 ) between the two groups.Patients in the pregnant group had lower PI ,RI and S/D of endometrial and subendometrial blood flows than those in the non-pregnant group ( P <0.05 ) .Conclusion Endometrial pattern , endometrium volume , endometrial and subendometria blood flows measured with transvaginal color Doppler ultrasound can be as reliable indicators to assess endometrial receptivity and to guide the time selecting of FET transplantation .
