| 马云飞,杜联芳,李宏波,吴意赟,张玫玫,强也.三维能量多普勒超声评估宫腔粘连患者子宫内膜容受性[J].中国医学影像技术,2018,34(1):82~85 |
| 三维能量多普勒超声评估宫腔粘连患者子宫内膜容受性 |
| Three-dimensional power Doppler ultrasound in evaluation of endometrial receptivity in patients with intrauterine adhesions |
| 投稿时间：2017-07-22 修订日期：2017-10-12 |
| DOI：10.13929/j.1003-3289.201707102 |
| 中文关键词: 宫腔粘连 三维能量多普勒超声 宫腔镜检查 子宫内膜容受性 |
| 英文关键词:Intrauterine adhesions Three-dimensional power Doppler ultrasound Hysteroscopy Endometrial receptivity |
| 基金项目:江苏省中医院院级课题（Y17061）。 |
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| 中文摘要: |
| 目的 探讨经阴道三维能量多普勒超声评估宫腔粘连患者内膜容受性的价值。方法 收集经宫腔镜确诊为宫腔粘连患者43例，并于排卵日进行经阴道三维能量多普勒超声检查。根据宫腔镜检查结果将患者分为轻度粘连组（n=17）、中度粘连组（n=18）、重度粘连组（n=8），比较3组间内膜厚度（ED）、内膜体积（EV）、内膜区血管指数（VI）、血流指数（FI）、血管血流指数（VFI）的差异。结果 3组间EV差异有统计学意义（P<0.001）。轻度粘连组和重度粘连组、中度粘连组和重度粘连组间ED、VI、VFI差异均有统计学意义（P均<0.05）。结论 经阴道三维能量多普勒超声及其内膜区血流参数为宫腔粘连患者评估内膜容受性提供了一个安全、无创的新途径，EV对子宫内膜容受性有较好的预测价值。 |
| 英文摘要: |
| Objective To explore the value of transvaginal three-dimensional power Doppler ultrasound in evaluation of endometrial receptivity in patients with intrauterine adhesions.Methods Totally 43 patients with intrauterine adhesions confirmed by hysteroscopy were enrolled in this study. According to the hysteroscopy, the patients were divided into mild adhesion group (n=17), moderate adhesion group (n=18) and severe adhesion group (n=8). All the patients were examined with transvaginal three-dimensional power Doppler ultrasonography on the day of ovulation. Endometrial thickness (ED), endometrial volume (EV), endometrial vascular index (VI), endometrial flow index (FI) and endometrial vascular flow index (VFI) were compared among three groups.Results There was significant difference in EV among three groups (P<0.001). ED, VI and VFI were significantly different between the mild and severe adhesion groups, as well as between moderate and severe adhesion groups (all P<0.05).Conclusion Transvaginal three-dimensional power Doppler ultrasound provides a safe and noninvasive approach to assess endometrial receptivity of patients with intrauterine adhesions. EV has good predictive value on endometrial receptivity. |
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