论文部分内容阅读
目的:通过观察多囊卵巢综合征患者治疗中卵泡发育情况,总结成熟卵泡特点,指导受孕。方法:本组56例多囊卵巢综合征患者治疗前超声记录卵泡总数、大小、卵泡壁厚薄、子宫内膜情况。2个月1个疗程,观察4个疗程,每个疗程在月经周期第9天开始动态记录卵泡生长、发育、成熟、破裂过程及子宫内膜厚度及形态变化,并分组对照。结果:56例病例中,有排卵患者50例,排卵率89.28%(50/56),无排卵患者6例。有排卵组优势卵泡发育良好者40例,发育不良者10例,其中发育良好组成功受孕29例,占总组病例51.78%(29/56)。无排卵组中2例卵巢多囊表现没有明显改善,3例有优势卵泡,发育不良,1例优势卵泡黄素化。同时观察到受孕组病例中子宫内膜与卵泡发育有较好同步性。结论:经阴道超声监测多囊卵巢综合征患者卵泡发育情况对指导受孕有重要意义。
Objective: To observe the follicular development in the treatment of patients with polycystic ovary syndrome, summarize the characteristics of mature follicles, to guide the pregnancy. Methods: 56 cases of PCOS patients before ultrasound ultrasound recording the total number of follicles, the size of the follicular wall thickness, endometrial conditions. 2 months, 1 course of treatment, observed 4 courses, each course in the first 9 days of menstrual cycle began to dynamically record follicular growth, development, maturation, rupture process and endometrial thickness and morphological changes, and group control. Results: In 56 cases, there were 50 cases of ovulation, ovulation rate 89.28% (50/56) and no ovulation in 6 cases. Forty ovarian follicles with well-developed follicles and 10 underdeveloped ovaries, of which 29 were conceived in well-developed group, accounting for 51.78% (29/56) of the total cases. No ovulation in 2 cases of ovarian polycystic showed no significant improvement in 3 cases of dominant follicles, dysplasia, 1 case of the dominant luteinized follicles. At the same time, it was observed that there was a good synchronization between endometrium and follicle development in the conception group. Conclusion: Transvaginal ultrasound monitoring of follicular development in patients with polycystic ovary syndrome is important for the guidance of pregnancy.