| 何雪威,涂美琳,张正贤,陈林丽,马景.经阴道三维能量多普勒超声联合抗苗勒管激素对不孕症患者卵巢储备功能的评估价值[J].浙江中西医结合杂志,2023,33(4): |
| 经阴道三维能量多普勒超声联合抗苗勒管激素对不孕症患者卵巢储备功能的评估价值 |
| Evaluation of ovarian reserve function in infertile patients by three-dimensional power Doppler transvaginal ultrasound combined with anti Mullerian hormone |
| 投稿时间：2022-05-13 修订日期：2022-10-25 |
| DOI： |
| 中文关键词: 抗苗勒管激素 经阴道三维能量多普勒超声 卵巢储备功能下降 不孕症 |
| 英文关键词:Anti Mullerian hormone Three-dimensional power Doppler transvaginal ultrasound Deminished Ovarian reserve Sterility |
| 基金项目:何氏养巢协定方通过ROS-JNK-p53信号通路改善生育能力的机制研究 |
|
| 摘要点击次数: 764 |
| 全文下载次数: 11 |
| 中文摘要: |
| 目的：探讨经阴道三维能量多普勒超声(3D-PDTVS)联合抗苗勒管激素(AMH)对不孕症患者卵巢储备功能的评估价值。方法：选取本院就诊的卵巢储备功能下降合并女性不孕症患者60例为研究组,同期进行健康体检的育龄期女性60例为对照组。两组均接受3D-PDTVS、血清AMH检查。对比超声指标及AMH水平差异,分析超声指标与血清AMH单用及联用对卵巢储备功能减退的诊断效能。 结果：与对照组相比,研究组的AFC、OV、PSV、VI、FI及VFI水平均明显更低(P<0.05)。研究组、对照组中年龄＜40岁与≥40岁亚组的AFC、OV、PSV、VI、FI及VFI水平比较差异均有统计学意义,≥40岁组的AFC、OV、PSV、VI、FI及VFI水平均更低(P<0.05)。研究组的血清FSH、FSH/LH及E2水平均显著高于对照组,AMH水平显著低于对照组(P<0.05)。研究组、对照组中年龄＜40岁与≥40岁亚组的血清FSH、FSH/LH、E2及AMH水平比较差异均有统计学意义,≥40岁组的FSH、FSH/LH水平更高,E2、AMH水平更低(P<0.05)。超声与血清AMH诊断卵巢储备功能下降的灵敏度、特异度、准确率、误诊率及漏诊率比较,差异均无统计学意义(P>0.05)。与单用超声、单用血清AMH相比,超声联合AMH诊断卵巢储备功能下降的灵敏度、特异度、准确率更高,误诊率、漏诊率更低(P<0.05)。结论：AMH检测不受月经周期所限,3D-PDTVS具有操作简单、无创、可重复、指标量化客观,两项联合可较为准确地评估卵巢储备功能,为卵巢储备功能下降合并女性不孕症诊治提供依据。 |
| 英文摘要: |
| Objective: To evaluate the value of three-dimensional power Doppler transvaginal ultrasound(3D-PDTVS) combined with anti Mullerian hormone (AMH) in the evaluation of ovarian reserve function in infertile patients. Methods: 60 infertile patients with decreased ovarian reserve function and 60 women of childbearing age who underwent physical examination in the same period were selected as the research objects, which were included in the research group and the control group respectively. Both groups received 3D-PDTVS and measured the level of serum AMH. The differences of ultrasound indexes and AMH levels were compared, and the diagnostic efficacy of ultrasound indexes and serum AMH alone and in combination was analyzed. Results: Compared with the control group, the levels of AFC, OV, PSV, VI, FI and VFI in the study group were significantly lower (P < 0.05). |
| 查看全文 查看/发表评论 下载PDF阅读器 |
| 关闭 |
|
|
|
