目的：比较经阴道与经腹部超声在卵泡监测中的应用价值。方法回顾性分析我院2013年2月～2014年1月诊治的112例不孕症患者的临床资料，所有患者均进行阴道超声与腹部超声检查，比较两种方法的卵泡监测结果。结果经阴道超声监测可见成熟卵泡127个，小卵泡976个，卵丘34个，卵巢显示208个；经腹部超声监测可见成熟卵泡120个，小卵泡552个，卵丘10个，卵巢显示203个；经阴道超声监测到的小卵泡和卵丘明显多于经腹部超声，差异有统计学意义（P＜0.05）；但在成熟卵泡及卵巢的显示上，两者差异无统计学意义（P＞0.05）。经阴道超声监测的子宫内膜平均厚度及卵泡排出时直径分别为（8.13±1.92） mm和（21.60±3.16） mm，经腹部超声监测的子宫内膜平均厚度及卵泡排出时直径分别为（8.09±1.87）mm和（21.47±3.09） mm，差异均无统计学意义（P＞0.05）。结论经阴道超声在监测小卵泡和卵丘方面具有显著优势，能够更好地评估卵泡的功能状态，指导不孕症的治疗。%Objective To compare the effectiveness of the application of TVS (Transvaginal Ultrasonography) and TUS (Transabdominal Ultrasonography) in monitoring of follicular development. Methods The clinical data of 112 cases of infertility patients who had been treated from February 2013 to January 2014 in the hospital were retrospectively analyzed. All the patients had undergone TVS and TUS in order to compare the monitoring results of follicular development. Results TVS revealed 127 mature follicles, 976 small follicles, 34 cumulus oophorus and 208 ovaries;while TUS displayed 120 mature follicles, 552 small follicles, 10 cumulus oophorus and 203 ovaries. TVS demonstrated its advantages over TUS in monitoring of small follicles and cumulus oophorus, which were statistically signiifcant differences between two methodologies (P<0.05). No statistical signiifcance existed between TVS and TUS in monitoring of mature follicles and ovaries (P>0.05). The average thickness of endometrium and diameter of ovulated follicles revealed by TVS were (8.13 ± 1.92) mm and (21.60 ± 3.16) mm versus TUS’s (8.09 ± 1.87) mm and (21.47 ± 3.09) mm without statistically signiifcance (P>0.05). Conclusion TVS has proven its overwhelming advantages over TUS in monitoring of small follicles and cumulus oophorus, which can better assess the functional status of the and contribute to the treatment of infertility.
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