经阴道彩超评价输卵管积水对子宫内膜容受性的影响

蔡铭姬; 何朝霞; 解琳琳; 王建荣; 胡艳红

doi:10.7619/jcmp.201413054

经阴道彩超评价输卵管积水对子宫内膜容受性的影响

1.
新疆维吾尔自治区乌鲁木齐市中医医院超声科，新疆乌鲁木齐，830000;
2.
新疆维吾尔自治区乌鲁木齐市中医医院妇科，新疆乌鲁木齐，830000;
3.
新疆维吾尔自治区乌鲁木齐市妇幼保健医院超声科，新疆乌鲁木齐，830001

基金项目: 中国高校医学期刊临床专项资金项目

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中图分类号: R711.76
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- 发布日期: 2014-09-10

Influence of hydrosalpinx on endometrial receptivity evaluated by transvaginal color doppler sonography

摘要

摘要: 目的：采用经阴道彩色多普勒超声仪评价输卵管积水对子宫内膜容受性的影响。方法将70例输卵管积水患者随机分为单侧组（观察 A 组）和双侧输卵管积水组（观察 B 组），每组35例。同时选取同期已生育、检查后证实无输卵管积水的健康女性35例设为对照组，对比3组的窗口期子宫动脉血流阻力指数（RI）、子宫内膜及内膜下血流分布类型。结果观察 A组与观察 B 组积水侧的子宫动脉血流 RI 值较对照组均有显著升高（P ＜0．01），观察 A 组的 A 型血流分布、C 型血流分布均显著高于对照组（P ＜0．05或 P ＜0．01），观察 B 组的 A 型血流分布显著高于对照组（P ＜0．05）。结论输卵管积水可能影响子宫动脉血流动力学，使血流阻力增加，引起子宫内膜及内膜下血流减少，导致子宫内膜容受性下降，最终影响患者的妊娠率。
- 输卵管积水 /
- 子宫内膜容受性 /
- 动脉血流动力学 /
- 阴道彩超
Abstract: Objective To evaluate the influence of hydrosalpinx on endometrial receptivity by transvaginal color doppler sonography.Methods A total of 70 patients with hydrosalpinx were randomly divided into unilateral hydrosalpinx group (observation group A)and bilateral hydros-alpinx group (observation group B),35 cases for each.Another 35 diagnosed healthy parous women served as control group.Resistance indexes (RI)of uterine artery and blood distribution types in and under endometrium among 3 groups were compared.Results Observation groups A and B were obviously higher than control group in RI on hydrosalpinx side (P <0.01),whereas observation group A was evidently higher in types A and C blood distribution and observation group B in type A blood distribution than control group (P <0.05 or P <0.01).Conclusion Hydrosalpinx may has certain impact on hemodynamics of uterine artery and increase RI,leading to decreased blood distri-bution in and under endometrium and endometrial receptivity,which can affect pregnant rate subse-quently.
- hydrosalpinx,endometrial receptivity /
- hemodynamics of uterine artery /
- transvaginal color doppler sonography

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参考文献(15)

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经阴道彩超评价输卵管积水对子宫内膜容受性的影响

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Influence of hydrosalpinx on endometrial receptivity evaluated by transvaginal color doppler sonography

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