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目的:探讨超声监测卵泡在不孕症中的应用及其临床价值。方法:对湖北省恩施州中心医院2006年6月～2008年6月不孕妇女(输卵管通畅者并排除男性不育)140例,利用超声监测卵泡发育,指导临床用药及受孕时机。结果:140例不孕妇女中,自然排卵54例,占38.6%,药物促排卵79例,占56.4%,7例多囊卵巢,占5.0%,成功受孕87例,受孕率为62.1%。需要药物促进排卵者存在卵泡发育异常和排卵异常,其中无卵泡发育17例,小卵泡发育28例,卵泡黄素化35例,经药物治疗后,无卵泡发育者有小卵泡排卵4例,黄素化卵泡不破裂者经药物治疗后出现卵泡过度刺激征3例。结论:超声能直接观察卵泡生长发育,确定卵泡的位置、形态、大小及数目,指导临床用药,对提高受孕率具有十分重要的意义。
Objective: To investigate the application and clinical value of ultrasound in monitoring of follicles in infertility. Methods: 140 cases of infertile women (tubal unobstructed and male infertility excluded) were enrolled in Enshi Central Hospital of Hubei Province from June 2006 to June 2008. Ultrasound was used to monitor follicular development to guide clinical use and timing of conception. Results: Of the 140 infertile women, 54 were ovulation spontaneously, accounting for 38.6%, 79 were ovulation - promoting drugs, accounting for 56.4%, 7 were polycystic ovary, accounting for 5.0%. 87 cases were successfully conceived and the pregnancy rate was 62.1%. There are 17 cases of follicular development, 28 cases of follicular development, 35 cases of follicular luteinization. After drug treatment, there are 4 cases of small follicle ovulation without follicular development, while the luteinized follicles are not ovulation 3 cases of rupture after drug treatment follicular over-stimulation. Conclusion: Ultrasound can directly observe the growth and development of follicles, and determine the location, shape, size and number of follicles to guide the clinical medication, which is of great significance to improve the pregnancy rate.