论文部分内容阅读
目的研究卵巢子宫内膜异位囊肿患者黄体功能状态。方法选择38例卵巢子宫内膜异位囊肿患者，通过超声观察卵巢内卵泡生长、发育、排卵的状况，确定黄体中期;测定此时血清雌二醇、孕酮的水平，与26例正常生育期妇女作对照。结果卵巢子宫内膜异位囊肿患者血清雌二醇低于正常组，但无统计学意义。38例中32％（12／38）卵泡发育，血清孕酮水平略低于正常妇女，彩色多普勒卵泡期无血流信号，黄体期可见较弱的血流信号;68％（26／38）卵泡发育明显不良，血清孕酮水平显著低于正常妇女，彩色多普勒卵泡期及黄体期均未见血流信号。结论提示卵巢子宫内膜异位囊肿患者的黄体功能不全与卵巢血供障碍致卵泡发育不良和无排卵有关。
Objective To study the functional status of corpus luteum in patients with ovarian endometriosis. Methods 38 cases of ovarian endometriosis were selected. The growth, development and ovulation of ovarian follicles were observed by ultrasound to determine the mid-term of luteal phase. The levels of serum estradiol and progesterone at this time were measured and compared with 26 cases of normal growth stage Women as a control. Results Serum estradiol in patients with ovarian endometriosis was lower than that in the normal group, but not statistically significant. Of the 38 cases, 32% (12/38) developed follicles, the serum progesterone level was slightly lower than that of normal women, there was no blood flow signal in color Doppler follicular phase, and weaker blood flow signal in luteal phase. 68% (26/38 ) Follicular development was significantly poor, serum progesterone levels were significantly lower than normal women, color Doppler follicular phase and luteal phase were no blood flow signal. Conclusion Conclusions Ovarian endometriosis cysts in patients with corpus luteum dysfunction and ovarian dysfunction caused by dysplasia and anovulation related.