[1]赖 蓁,杨 洁,李赛银.阴道三维超声对体外受精-胚胎移植患者子宫内膜容受性及妊娠结局的预测价值[J].医学信息,2023,36(21):146-149.[doi:10.3969/j.issn.1006-1959.2023.21.034]
　LAI Zhen,YANG Jie,LI Sai-yin.Value of Three-dimensional Transvaginal Sonography in Predicting Endometrial Receptivity and Pregnancy Outcome in Patients Undergoing In Vitro Fertilization-embryo Transfer[J].Journal of Medical Information,2023,36(21):146-149.[doi:10.3969/j.issn.1006-1959.2023.21.034]
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阴道三维超声对体外受精-胚胎移植患者子宫内膜容受性及妊娠结局的预测价值()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
36卷
期数:
2023年21期
页码:
146-149
栏目:
诊疗技术
出版日期:
2023-11-01

文章信息/Info

Title:
Value of Three-dimensional Transvaginal Sonography in Predicting Endometrial Receptivity and Pregnancy Outcome in Patients Undergoing In Vitro Fertilization-embryo Transfer
文章编号:
1006-1959（2023）21-0146-04
作者:
赖 蓁; 杨 洁; 李赛银
（赣州市人民医院超声医学科1，党委办公室2，江西 赣州 341000）
Author(s):
LAI Zhen; YANG Jie; LI Sai-yin
(Department of Ultrasound1,Office of a Party Committee2,Ganzhou People’s Hospital,Ganzhou 341000,Jiangxi,China)
关键词:
体外受精-胚胎移植; 阴道三维超声; 子宫内膜容受性; 妊娠结局
Keywords:
In vitro fertilization embryo transfer; Three-dimensional transvaginal sonography; Endometrial receptivity; Pregnancy outcome
分类号:
R445.1
DOI:
10.3969/j.issn.1006-1959.2023.21.034
文献标志码:
A
摘要:
目的 探究阴道三维超声（3D-TVS）对体外受精-胚胎移植（IVF-ET）患者子宫内膜容受性（ER）及妊娠结局的预测价值。方法 选择2021年4月-2022年6月于赣州市人民医院行IVF-ET治疗的100例女性为研究对象，依据其妊娠结局分为妊娠组61例与非妊娠组39例。采用3D-TVS检测其子宫内膜容受性，比较两组子宫内膜形态参数（子宫内膜厚度、子宫内膜容积、子宫内膜类型）与子宫内膜血流参数[血流指数（FI）、血管化指数（VI）、血管-血流指数（VFI）、血流阻力指数（RI）、搏动指数（PI）]，采用多因素Logistic回归分析IVF-ET患者妊娠结局的独立影响因素，ROC曲线分析3D-TVS参数对IVF-ET患者妊娠结局的预测价值。结果 妊娠组与非妊娠组的子宫内膜形态参数（子宫内膜厚度、子宫内膜容积、子宫内膜类型）比较，差异无统计学意义（P＞0.05），但两组子宫内膜血流参数（FI、VI、VFI、RI、PI）比较，差异有统计学意义（P＜0.05）；多因素Logistic分析显示，FI、VI、VFI、RI、PI是IVF-ET患者妊娠结局的独立影响因素（P＜0.05）；ROC曲线分析显示，3D-TVS参数预测IVF-ET患者妊娠结局的AUC值由高至低依次为VFI＞FI＞PI＞RI＞VI（P＜0.05）。结论 3D-TVS可完整评估IVF-ET患者的子宫内膜容受性，其子宫内膜血流参数对IVF-ET妊娠结局具有良好的预测价值。
Abstract:
Objective To investigate the predictive value of three-dimensional transvaginal sonography (3D-TVS) on endometrial receptivity (ER) and pregnancy outcome in patients with in vitro fertilization embryo transfer (IVF-ET).Methods A total of 100 women who underwent IVF-ET treatment in Ganzhou People’s Hospital from April 2021 to June 2022 were selected as the research objects. According to their pregnancy outcomes, they were divided into pregnancy group (61 women) and non-pregnancy group (39 women). Endometrial receptivity was detected by 3D-TVS. The endometrial morphological parameters (endometrial thickness, endometrial volume, endometrial type) and endometrial blood flow parameters [blood flow index (FI), vascularization index (VI), vascular-blood flow index (VFI), blood flow resistance index (RI), pulsatility index (PI)] were compared between the two groups. Multivariate logistic regression was used to analyze the independent influencing factors of pregnancy outcome in IVF-ET patients. ROC curve was used to analyze the predictive value of 3D-TVS parameters on pregnancy outcome in IVF-ET patients.Results There was no significant difference in endometrial morphological parameters (endometrial thickness, endometrial volume, endometrial type) between the pregnancy group and the non-pregnancy group (P>0.05), but there was significant difference in endometrial blood flow parameters (FI, VI, VFI, RI, PI) between the two groups (P<0.05). Multivariate Logistic analysis showed that FI, VI, VFI, RI and PI were independent influencing factors of pregnancy outcome in IVF-ET patients (P<0.05). ROC curve analysis showed that the AUC value of 3D-TVS parameters in predicting pregnancy outcome of IVF-ET patients was VFI>FI>PI>RI>VI (P<0.05).Conclusion 3D-TVS can completely evaluate the endometrial receptivity of IVF-ET patients, and its endometrial blood flow parameters have good predictive value for IVF-ET pregnancy outcome.

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更新日期/Last Update: 1900-01-01