Uterine Flow Assessment by Doppler Surveys of Uterine Arteries in Different Locations and Menstrual Phases Among Controlled Ovarian Hyperstimulation and Intrauterine Insemination Patients

對接受控制性卵巢刺激與子宮內人工受精之婦女以杜普勒超音波測量與評估其不同位置與不同月經週期之子宮動脈血流之差異

謝耀元(Yao-Yuan Hsieh) ； 蔡鴻德(Horng-Der Tsai) ； 張其真(Chi-Chen Chang) ； 李建忠(Chien-Chung Lee)

《Mid-Taiwan Journal of Medicine》 4卷3期 (1999/09) Pp. 179-185

https://doi.org/10.6558/MTJM.1999.4(3).5

摘要

為比較接受控制性卵巢刺激與子宮內人工受精之婦女其不同位置與不同月經週期之子宮動脈血流之脈動係數（pulsatility index, PI）與阻力係數（resistance index，RI）之差異。接受卵巢刺激與子宮內人工受精之病愚接受不同位置之子宮動脈杜普勒超音波評估，測量位置包括，（a）子宮動脈上升分枝，（b）子宮動脈下降分枝，（e）子宮動脈近端，位於上下分支處，（d）子宮動脈中端，位於上下分支處外0.5 cm；（e）子宮動脈外端，位於上下分支處外1cm。二次子宮動脈杜普勒超音波評估施行於月經週期之第2-3天及第14-16天。進一步比較不同位置，不同月經週期，與不同年齡之子宮動脈脈動係數（pulsatility index，PI）與阻力係數（resistance index RI）。不同位置之子宮動脈PI與RI值分別為（a）2.85 ± 1.19／0.91 ± 0.12；（b）2.64 ± 1.15／0.88 ± 0.12；（c）2.87 ± 1.26/0 .89 ± 0.14（d）3.02 ± 1.02／0.90 ± 0.07；（e）3.22 ± 1.3 8／0.89 ± 0.12。子宮動脈之總平均PI與RI值為3.01 ± 1.24／0. 90 ± 0.12不同月經週期與不同年齡之子宮動脈PH直分別為，2 .86 ± 1.14（月經週期之第2-3天），3.08 ± 1.31（月經週期之第14-16天），2.82 ± 1.21（小於或等於30歲），2.9 ± 1.33（大於30歲）。不同位置，不同月經週期，與不同年齡之子宮動脈PI與RH直並無統計學上之差異。不同位置，不同月經週期，與不同年齡之子宮動脈之間與RH直並無明顯之差異。靠近外側，接近月經中期，與年紀較大之子宮動脈之PI值通常較靠近內側，月經早期，與年紀較輕之PI值為高。中端位置之子宮動脈血流係數通常可代表整體子宮動脈之動脈血流狀況。

關鍵字

杜普勒超音波 ； 子宮動脈 ； 人工受精

並列摘要

The aim of this study was to compare the pulsatility index (PI) and resistance index (RI) among different locations of uterine arteries in early and mid-menstrual phases. Patients accepting controlled ovarian hyperstimulation (COH) and intrauterine insemination (IUI) were included in this study. The PI/RI values of five locations of uterine arteries were measured, including: ascending branch; descending branch; proximate, near branch division; middle, distal division 0.5 cm lateral to division; and lateral locations, distal division 1 cm lateral to division. Two surveys of uterine arteries included menstrual days 2-3 and 14-16. The PI/RI values of the different locations, menstrual phases, and patient ages were compared. The mean PI/RI values of uterine arteries were as follows: ascending branch, 2.85 ± 1.19/0.91 ± 0.12; descending branch, 2.64 ± 1.15/0.88 ± 0.12; proximate, 2.87 ± 1.26/0.89 ± 0.14; middle, 3.02 ± 1.02/0.90 ± 0.07; and lateral locations, 3.22 ± 1.38/0.89 ± 0.12. The overall mean PI/RI value of uterine arteries was 3.01 ± 1.24/0.90 ± 0.12. The PI values of uterine arteries for different phases and ages were: 2.86 ± 1.14 (days 2-3); 3.08 ± 1.31 (days 14-16); 2.82 ± 1.21 (30 years); 2.9 ± 1.33 (＞ 30 years). The PI/RI values among different locations, menstrual phases and ages revealed no significant differences. We concluded that PI/RI values of different locations of uterine arteries, menstrual phases, and ages of the patients accepting COH and IUI were not significantly different. The tendency for the higher PI values of the lateral uterine artery, mid-menstrual phase and age ＞ 30 years were noted. The PI/RI values of middle uterine arteries represented those of the overall uterine arteries in patients accepting COH and IUI.

並列關鍵字

artificial insemination ； Doppler sonography ； uterine artery