阴道B超在监测不孕不育患者子宫内膜中的作用探讨

Discussion on role of transvaginal B-ultrasound in monitoring endometrium of infertility patients

摘要:

目的：探讨阴道B超（B-transvaginal ultrasound，TVS）在诊断不孕不育患者子宫内膜病变中的特异性作用价值。方法：随机选择500例不孕不育患者行回顾性分析，均在排卵期行TVS检查子宫内膜厚度及子宫内膜形态，将TVS所见分为无明显异常、内膜厚度≤8 mm、≥16 mm、及内膜回声不均4类，并联合宫腔镜检查。结果：TVS方法较宫腔镜法对子宫内膜异常的检出率无差异（?字2=4.824，P=0.185）。结论：TVS在筛查不孕不育患者子宫内膜病变中是一种最佳、无创可靠的辅助检查手段，能有效提高临床诊断率。

Abstract:

Objective：To explore the specific value of transvaginal B-ultrasound（TVS） in monitoring endometrium of infertility patients. Methods：Totally 500 infertility patients were randomly selected and analyzed retrospectivelyy. Endometrial thickness and morphology during the ovulation period was monitored by TVS. Results of TVS were divided into no obvious abnormality，endometrium thickness≤ 8 mm，≥16 mm and uneven endometrial echo four categories and hysteroscopy examination was combined. Results：There was no difference between TVS and hysteroscopy examination in detecting endometrial lesions（ ?字2=4.824，P=0.185）. Conclusions：TVS screening is one of the best and reliable and noninvasive auxiliary examination methods in detecting endometrial lesions of infertility patients，which can effectively improve the clinical diagnostic rate.