不同年龄段妇女卵巢储备功能对比研究.docVIP

不同年龄段妇女卵巢储备功能对比研究 　　【摘要】目的：探讨不同年龄段妇女的卵巢储备功能的变化规律。结果：20～29岁年龄段患者的窦卵泡数量最多、卵泡体积最大，明显高于其他三组（P0.05），窦卵泡数量明显少于其他组（P0.05）；≥40岁组各期PI、RI、S/D值明显高于20～29岁组和30～39岁组。结论：女性卵泡体积、数量以及排卵率随年龄增长呈逐渐降低趋势。 　　【关键词】彩色多普勒超声；卵巢；卵泡；排卵 　　Color Doppler ultrasound measurement of ovarian volume， number of follicles and ovarian reserve functionPENG Li， TIAN Tian， HE Yun. Department of Ultrasound， Southwest Hospital of the First Affiliated Hospital of Third Military Medical University， Chongqing 400038， China 　　【Abstract】Objectives： To explore the application value of transvaginal color Doppler ultrasound in the measurement of ovarian volume and the number of follicles and ovulation in infertile women. Methods： 75 cases of infertile women with normal menstrual cycle and 23 cases of women were selected as the research object， the normal menstrual cycle in women by age was 20-29 years old， and 30-39， ≥ 40 years old group， all patients with antral follicle， volume of ovary and ovarian stromal blood flow examination was examined with doppler ultrasound， and the relationship between and ovarian reserve and infertility were analyzed. Results： the 20-29 age group had the largest number of antral follicle and follicle size， significantly higher than the other 3 groups （P0.05）， while their antral follicle number was significantly less than the other groups （P0.05）； the PI， RI， S/D of 40 years old or older patients was significantly higher than that of 20-29 years old age group and 30-39 group； infertility patients with ovarian stromal artery blood flow spectrum of PI， RI， S/D in the follicular phase， no significant differences in ovulation and luteal phase （P0.05）， non periodic variation； 20-29， 30-39， ≥ 40， infertility group ovulation rate was 68.6% （24/35）， 47.8% （11/23）， 23.5% （4/17）， 26.1% （6/23）. Conclusion： The normal application of color Doppler ultrasound technique in the measurement of follicle number， ovarian volume combined with ovarian stromal artery flow spectrum is also reflected in a certain