国际生殖健康/计划生育杂志

国际生殖健康/计划生育 ›› 2011, Vol. 30 ›› Issue (5): 384-387.

• 综述 • 上一篇    下一篇

多囊卵巢综合征子宫内膜血流变化的影响因素

唐红娟,李晓冬   

  1. 050000 石家庄，河北医科大学第二医院妇产科
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2011-09-15 发布日期:2011-09-15
  • 通讯作者: 李晓冬

Factors Influencing the Endometrial Blood Flow in Polycystic Ovary Syndrome

TANG Hong-juan， LI Xiao-dong   

  1. Department of Obstetrics and Gynecology， the Second Hospital of Hebei Medical University， Shijiazhuang 050000， China
  • Received:1900-01-01 Revised:1900-01-01 Published:2011-09-15 Online:2011-09-15
  • Contact: LI Xiao-dong

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摘要： 经阴道彩色多普勒超声检测子宫动脉搏动指数（PI）和阻力指数（RI）可反映子宫内膜血流的变化，了解子宫内膜的发育情况及功能变化。多囊卵巢综合征（PCOS）患者胰岛素、黄体生成激素和雄激素增高；肥胖及高脂血症，肾素-血管紧张素系统亢进等因素可以影响子宫内膜血流，使子宫内膜功能受损，容受性下降，经药物治疗后子宫内膜的功能可以得到改善。

关键词: 多囊卵巢综合征, 子宫内膜, 超声检查, 多普勒, 彩色, 血流动力学, 血流速度

Abstract: Uterine artery pulsatility index（PI） and resistance index（RI） by the transvaginal color Doppler ultrasound can reflect the changes of endometrial blood flow，which showed the status of endometrial development and endometrial function. In patients with polycystic ovary syndrome（PCOS）， the factors influencing the endometrial blood flow include hyperinsulinemia，hyperandrogenism，the increased luteinizing hormone， obesity，hyperlipidemia and hyperactivity of renin-angiotensin system. These factors induce the impaired endometrial function and lowed endometrial receptivity. Endometrial function can be improved by medical treatment.

Key words: Polycystic ovary syndrome, Endometrium, Ultrasonography, doppler, color, Hemodynamics, Blood flow velocity