| 王家祥,方平,王金锋,祁明文,刘忠朝.多囊卵巢综合征卵巢穿刺内凝术后子宫卵巢动脉血流与激素变化的研究[J].中国医学影像技术,2003,19(1):92~94 |
| 多囊卵巢综合征卵巢穿刺内凝术后子宫卵巢动脉血流与激素变化的研究 |
| Change of Ovarian and Uterian Artery Flow and Hormone in Patients with Polycytic Ovarian Syndrome after Laparoscopic Ovarian-Puncture Electrocautery |
| 投稿时间：2002-08-04 |
| DOI： |
| 中文关键词: 多囊卵巢综合征 经阴道彩色血流显像 腹腔镜卵巢穿刺内凝术 |
| 英文关键词:Polycystic ovary syndrome Transvaginal color Doppler flow imaging Laparoscopic ovarian-puncture electrocautery |
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| 中文摘要: |
| 目的 探讨多囊卵巢综合征(PCOS)患者经腹腔镜卵巢穿刺内凝术(LOPE)前后子宫和卵巢动脉血流参数的变化及与激素变化的相关关系。方法 采用经阴道彩色血流显像(TV-CDFI) 对28例PCOS患者手术前后的子宫、卵巢动脉进行检测并测定激素水平。结果 PCOS患者手术后,两侧卵巢血流阻力指数(RI)、 雄激素、LH/FSH显著降低(P＜0.01),出现优势卵泡右侧子宫动脉RI降低 (P＜0.05)。回归分析子宫动脉PI与LH/FSH相关(P＜0.05),LH/FSH与雌激素相关(P＜0.01)。结论 LOPE术后可显著改善卵巢的微循环及增加优势卵泡侧的子宫动脉的血流灌注,LH/FSH可能在调节子宫动脉的血流灌注及雌激素方面具有一定的作用。 |
| 英文摘要: |
| Objective To determine blood flow parameters of ovarian and uterine arteries in patients with polycystic ovary syndrome (PCOS) before and after laparoscopic ovarian-puncture electrocautery (LOPE) and find correlation between hormone and blood flow parameters. Methods The ovarian and uterian arteries were detected with TV-CDFI,and hormonal levels were determined in 28 patients with PCOS before and after operation. Results The resistance index (RI) of bilateral ovarian arteries,androgen and LH/FSH was significantly decreased in patients with PCOS after operation,which showed statistically significant difference (P＜0.01).The resistance index of right ovarian ateries with dominant folliculus was decreased (P＜0.05).Correlations were found between the pulsatility index(PI)of uterian artery and LH/FSH (P＜0.05),between LH/FSH and estrogen (P＜0.01)with regression analysis. Conclusion After operation,the ovarian microcirculation and blood perfusion of uterian artery which had predominant folliculus in ovary were remarkably improved.LH/FSH could have an effect on regulating blood perfusion of uterian artery and estrogen levels in serum. |
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