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目的:评估经阴道超声检查对女性不孕症患者卵泡成长发育及排卵的诊断价值。方法:选取本院2010年1月至2014年3月收治的女性不孕症患者140例,随机分为观察组和对照组各70例。观察组采用经阴道超声方法监测卵泡成长发育及排卵;对照组使用排卵测试纸和检测基础体温方法监测不孕女性患者的排卵情况。结果:对照组卵泡成熟比率为65.7%,观察组卵泡成熟比率为70.0%,有差异但无统计学意义(P>0.05);观察组受孕率(48.6%)高于对照组(24.3%),两组比较差异有统计学意义(P<0.05)。观察组中,受孕成功患者卵泡成熟比例高、无卵泡闭锁及卵泡黄素化、子宫内膜厚度不匀比例小,与未受孕成功的患者比较差异有统计学意义(P<0.05);观察组中,受孕成功患者卵泡增长速度快、成熟卵泡的直径大、子宫内膜厚度低,与未受孕成功的患者比较差异有统计学意义(P<0.05)。结论:经阴道超声方法能实时监测女性不孕症患者的卵泡成长发育及排卵情况,有效的帮助患者找寻不孕症的病因并指导患者顺利受孕,提高了不孕症女性受孕的成功率,具有临床应用意义。
Objective: To evaluate the diagnostic value of transvaginal ultrasonography in follicular growth and ovulation in female infertility patients. Methods: A total of 140 female infertility patients admitted from January 2010 to March 2014 in our hospital were randomly divided into observation group (70 cases) and control group (70 cases). The observation group used transvaginal sonography to monitor follicular growth and ovulation; the control group used ovulation test paper and the detection of basal body temperature to monitor ovulation in infertile women. Results: The follicle maturation rate was 65.7% in the control group and 70.0% in the observation group, but the difference was not statistically significant (P> 0.05). The pregnancy rate (48.6%) in the observation group was higher than that in the control group (24.3% The difference between the two groups was statistically significant (P <0.05). In the observation group, the proportion of mature follicles, follicular atresia and follicular luteinization, small proportion of endometrial thickness unevenness in successful conception patients were significantly different from those without conception (P <0.05). In observation group, The success of conception in follicles in patients with rapid growth, the diameter of mature follicles, endometrial thickness is low, compared with those who did not succeed in pregnancy was significantly different (P <0.05). Conclusion: Transvaginal ultrasonography can monitor the growth and ovulation of follicles in women with infertility in real time, effectively help patients to find out the cause of infertility and guide the patients to get pregnant successfully, and improve the success rate of infertile women with conception. Clinical significance.