黑龙江医药科学

目的:探究彩色多普勒超声检查对多囊卵巢综合征(PCOS)不孕患者子宫内膜状态和卵巢储备功能的评估价值。方法:回顾性选取2021年2月至2024年12月于郑州颐和医院就诊的PCOS不孕患者96例为观察组，同期选取健康女性72例为对照组。两组均接受阴道超声检查，观察子宫内膜厚度和容积，测量子宫内膜下阻力指数(RI)、搏动指数(PI)和收缩期峰值血流速度(PSV)值，采用Spearman分析相关性。根据卵巢储备功能情况将观察组患者分为正常组和异常组，比较两组RI、PI和PSV水平，并采用受试者工作曲线(ROC)分析评估价值。结果:观察组子宫内膜厚度和PSV小于对照组，子宫内膜容积、PI和RI大于对照组(P<0.05)。PI、RI与子宫内膜厚度呈负相关性，与容积呈正相关性; PSV与子宫内膜厚度呈正相关性，与容积呈负相关性(P<0.05)。本研究卵巢功能正常组PI和RI小于异常组，PSV、子宫内膜厚度和容积大于异常组(P<0.05)。RI、PI、PSV、子宫内膜厚度和容积对卵巢储备功能有一定的评估价值，且联合评估的整体效能更好。结论:超声检查能够评估子宫内膜厚度和容积，RI、PI和PSV水平与子宫内膜状态有紧密相关性，超声检查指标对卵巢储备功能有较高的评估价值。

Objective: To explore the assessment value of color Doppler ultrasound in evaluating endometrial status and ovarian reserve function in infertile patients with polycystic ovary syndrome( PCOS). Methods: A retrospective selection was made of 96 infertile patients with PCOS who received treatment at Zhengzhou Yihe Hospital from February 2021 to December 2024 as the observation group,and 72 healthy women were selected as the control group during the same period. Both groups underwent transvaginal ultrasound examination to observe endometrial thickness and volume,and measure the values of the subendometrial resistance index( RI),pulsatility index( PI)and peak systolic velocity( PSV). Spearman analysis was used to evaluate correlations. Based on ovarian reserve function,patients in the observation group were divided into a normal group and an abnormal group. The levels of RI,PI,and PSV were compared between the two groups,and the assessment value was evaluated using the receiver operating characteristic( ROC) curve. Results: The endometrial thickness and PSV in the observation group were lower than those in the control group,while the endometrial volume,PI and RI were higher( P < 0. 05). PI and RI showed a negative correlation with endometrial thickness and a positive correlation with volume; PSV showed a positive correlation with endometrial thickness and a negative correlation with volume( P < 0. 05). The normal ovarian function group had lower PI and RI values and higher PSV,endometrial thickness and volume compared to the abnormal group( P < 0. 05). RI,PI,PSV,endometrial thickness and volume had certain assessment value for ovarian reserve function,and the overall efficacy of combined assessment was better. Conclusion: Ultrasound examination can evaluate endometrial thickness and volume. The levels of RI,PI and PSV are closely correlated with endometrial status. Ultrasound examination indicators have high assessment value for ovarian reserve function.