中国性科学
中國性科學
중국성과학
THE CHINESE JOURNAL OF HUMAN SEXUALITY
2014年
4期
38-40
,共3页
阴道超声%卵泡发育%不孕症
陰道超聲%卵泡髮育%不孕癥
음도초성%란포발육%불잉증
Transvaginal ultrasound%Follicular development%Infertility
目的：探讨阴道超声检测卵泡发育在治疗女性不孕症中的临床疗效。方法：选择我院2012年8月至2013年8月收治的不孕患者50例作为观察组，采用阴道超声检查女性患者卵泡发育情况；同时回顾性选择我院使用引导超声前收治的通过测排卵试纸、基础体温测定治疗的不孕患者50例作为对照组。检查并记录两组不孕症患者检测卵泡成熟和排卵情况后，指导性生活后的成功受孕率。结果：对照组有38例患者卵泡发育成熟，而观察组检测到30例卵泡成熟，少于对照组，但差异无统计学意义（P＞0.05）；观察组患者的受孕率（46.0％）高于对照组（20.0％），差异有统计学意义（P＜0.05）；观察组怀孕患者的卵泡成熟、卵泡黄素化、卵泡闭锁、盆腔积液、子宫内膜厚度不均与未受孕患者间差异有统计学意义（P＜0.05）；观察组受孕患者卵泡每日增长速度和成熟时卵泡直径均大于未受孕患者，且差异有统计学意义（P＜0.05）；观察组受孕患者的子宫内膜厚度低于未受孕者，更易于着床，差异有统计学意义（P＜0.05）。结论：阴道超声检测卵泡发育能更好的治疗和指导女性不孕症患者的受孕率，值得临床推广。
目的：探討陰道超聲檢測卵泡髮育在治療女性不孕癥中的臨床療效。方法：選擇我院2012年8月至2013年8月收治的不孕患者50例作為觀察組，採用陰道超聲檢查女性患者卵泡髮育情況；同時迴顧性選擇我院使用引導超聲前收治的通過測排卵試紙、基礎體溫測定治療的不孕患者50例作為對照組。檢查併記錄兩組不孕癥患者檢測卵泡成熟和排卵情況後，指導性生活後的成功受孕率。結果：對照組有38例患者卵泡髮育成熟，而觀察組檢測到30例卵泡成熟，少于對照組，但差異無統計學意義（P＞0.05）；觀察組患者的受孕率（46.0％）高于對照組（20.0％），差異有統計學意義（P＜0.05）；觀察組懷孕患者的卵泡成熟、卵泡黃素化、卵泡閉鎖、盆腔積液、子宮內膜厚度不均與未受孕患者間差異有統計學意義（P＜0.05）；觀察組受孕患者卵泡每日增長速度和成熟時卵泡直徑均大于未受孕患者，且差異有統計學意義（P＜0.05）；觀察組受孕患者的子宮內膜厚度低于未受孕者，更易于著床，差異有統計學意義（P＜0.05）。結論：陰道超聲檢測卵泡髮育能更好的治療和指導女性不孕癥患者的受孕率，值得臨床推廣。
목적：탐토음도초성검측란포발육재치료녀성불잉증중적림상료효。방법：선택아원2012년8월지2013년8월수치적불잉환자50례작위관찰조，채용음도초성검사녀성환자란포발육정황；동시회고성선택아원사용인도초성전수치적통과측배란시지、기출체온측정치료적불잉환자50례작위대조조。검사병기록량조불잉증환자검측란포성숙화배란정황후，지도성생활후적성공수잉솔。결과：대조조유38례환자란포발육성숙，이관찰조검측도30례란포성숙，소우대조조，단차이무통계학의의（P＞0.05）；관찰조환자적수잉솔（46.0％）고우대조조（20.0％），차이유통계학의의（P＜0.05）；관찰조부잉환자적란포성숙、란포황소화、란포폐쇄、분강적액、자궁내막후도불균여미수잉환자간차이유통계학의의（P＜0.05）；관찰조수잉환자란포매일증장속도화성숙시란포직경균대우미수잉환자，차차이유통계학의의（P＜0.05）；관찰조수잉환자적자궁내막후도저우미수잉자，경역우착상，차이유통계학의의（P＜0.05）。결론：음도초성검측란포발육능경호적치료화지도녀성불잉증환자적수잉솔，치득림상추엄。
Objectives:To investigate the clinical efficacy of vaginal ultrasound monitor of follicular devel-opment in the treatment of female infertility.Method:50 patients with infertility who came to our hospital between August 2012 and August 2013 were selected as the observation group.They were treated with vaginal ultrasound mo-nitoring of follicular development.Meanwhile,50 patients who were treated with ovulation test and basal body tem-perature measurement were retrospectively analyzed and were regarded as the control group.Follicular maturation and ovulation,and the guidance of a successful pregnancy ratio after sex guidance were observed and recorded.Re-sults:Follicular development was detected in 38 patients in the control group and 30 in the observation group,and the difference of number of patients was of no statistically significance (P>0.05).The pregnancy rate of the obser-vation group (46.0%)was significantly higher than that of the control group (20.0%)(P<0.05).In the obser-vation group,follicular maturation,luteinized follicular artesian,pelvic fluid,uneven rate of endometrial thickness, daily follicular growth,follicular diameter were significantly different between those who were pregnant and those who were not pregnant (P<0.05).In the observation group,endometrial thickness of those who were pregnant was less thicker than those who were not pregnant,and the difference was statistically significant (P<0.05 ).Conclu-sion:Transvaginal ultrasound monitor of follicular development is worthy of promotion in the treatment of female in-fertility.
