Hemodynamics of Uterine and Intraovarian Arteries in Ovarian Hyperstimulation Syndrome during Culdocentesis and Persistent Ascites for Predicting Pregnancy Rate

子宮動脈與卵巢動脈血流在卵巢過度刺激症候群病患抽取腹水時之表現及持續性腹水與懷孕率之關聯性

張其真(Chi-Chen Chang) ； 謝耀元(Yao-Yuan Hsieh) ； 蔡鴻德(Horng-Der Tsai) ； 李佳霙(Chia-Ing Li)

《Mid-Taiwan Journal of Medicine》 6卷1期 (2001/03) Pp. 30-35

https://doi.org/10.6558/MTJM.2001.6(1).5

摘要

Objective. To investigate the effects of culdocentesis on uterine and intrauvanan modynamics and the association between persistent ovarian hyperstimulation syndrome (OHSS) and successful pregnancy. Methods. Women who were admitted to our hospital with severe OHSS and received the transvaginal culdocenteses were included. All patients were divided according to the amounts of ascites removed (patients with ＜ 2000 mL ascites and patients with?2000 mL ascites); and their pulsatility index (pI) and maximum peak systolic velocity (MPSV) of uterine and intraovarian arteries were compared. The correlation between the persistent ascites and successful pregnancy was evaluated. Results. A total of 站patients and 82 culdocenteses (49 culdocenteses in patients with ＜ 2000 mL ascites and 33 culdocenteses in patients with ~?2000 mL ascites) were included. The uterine artery PI value decreased significantly after culdocentesis. Uterine artery PI value reduced after performance of 38 of 49 (78%, ＜ 2000 mL ascites) and 25of 33 (76%,?2000 mL ascites) culdocenteses. Uterine MPSV value and the PI and MPSV values of intraovarian arteries did not reduce significantly after culdocentesis. PI and MPSV values before or after culdocenteses between both groups were not different. Persistent ascites was related to higher rate of pregnancy. Conclusions. Culdocentesis improved uterine perfusion, but did not improve intraovarian perfusion. The improvement of uterine perfusion was not retated to the amount of ascites removed. Persistence of ascites was related to successful pregnancy.

關鍵字

抽回腹水 ； 卵巢內動脈 ； 最大收縮壓流速 ； 卵巢過度刺激症候群 ； 脈動係數 ； 子宮動脈

並列摘要

Objective. To investigate the effects of culdocentesis on uterine and intrauvanan modynamics and the association between persistent ovarian hyperstimulation syndrome (OHSS) and successful pregnancy. Methods. Women who were admitted to our hospital with severe OHSS and received the transvaginal culdocenteses were included. All patients were divided according to the amounts of ascites removed (patients with ＜ 2000 mL ascites and patients with?2000 mL ascites); and their pulsatility index (pI) and maximum peak systolic velocity (MPSV) of uterine and intraovarian arteries were compared. The correlation between the persistent ascites and successful pregnancy was evaluated. Results. A total of 站patients and 82 culdocenteses (49 culdocenteses in patients with ＜ 2000 mL ascites and 33 culdocenteses in patients with ~?2000 mL ascites) were included. The uterine artery PI value decreased significantly after culdocentesis. Uterine artery PI value reduced after performance of 38 of 49 (78%, ＜ 2000 mL ascites) and 25of 33 (76%,?2000 mL ascites) culdocenteses. Uterine MPSV value and the PI and MPSV values of intraovarian arteries did not reduce significantly after culdocentesis. PI and MPSV values before or after culdocenteses between both groups were not different. Persistent ascites was related to higher rate of pregnancy. Conclusions. Culdocentesis improved uterine perfusion, but did not improve intraovarian perfusion. The improvement of uterine perfusion was not retated to the amount of ascites removed. Persistence of ascites was related to successful pregnancy.

並列關鍵字

culdocentesis ； intraovarian artery ； maximum peak systolic velocity ； ovarian hyperstimulation syndrome ； pulsatility index ； uterine artery