Hata K, Hata T, Senoh D, Makihara K, Aoki S, Kitao M
Department of Obstetrics and Gynecology, Shimane Medical University.
Nihon Sanka Fujinka Gakkai Zasshi. 1990 Jul;42(7):662-6.
Ovarian arterial velocimetry was performed using color and pulsed Doppler ultrasound. Seventy-one examinations were done on 9 healthy women with regular menstrual cycles. The change in ovarian arterial compliance was based on the calculation of the pulsatility index (PI). In the active ovary carrying a dominant follicle or corpus luteum, PI in the early proliferative phase was significantly higher than that in the late proliferative phase (p less than 0.001), and PI in the early secretory phase was significantly lower than that in the late proliferative phase (p less than 0.001). PI became significantly higher in the late secretory phase than that in the early secretory phase (p less than 0.001). In the inactive ovary without a follicle of corpus luteum, no changes were seen among the values for PI, in any menstrual phase. There was a significant difference between the values for PI in the active ovary and the inactive ovary in the late proliferative, the early and the late secretory phases (p less than 0.001), respectively. The PI values for the active ovary significantly correlated with the serum progesterone levels (r = -0.53, p less than 0.05) but not with the estradiol levels. These findings provide a useful foundation for assessing ovarian hemodynamics during the menstrual cycle.
采用彩色和脉冲多普勒超声进行卵巢动脉血流速度测定。对9名月经周期规律的健康女性进行了71次检查。卵巢动脉顺应性的变化基于搏动指数（PI）的计算。在有优势卵泡或黄体的活跃卵巢中，增殖早期的PI显著高于增殖晚期（p<0.001），分泌早期的PI显著低于增殖晚期（p<0.001）。分泌晚期的PI显著高于分泌早期（p<0.001）。在无卵泡或黄体的不活跃卵巢中，各月经周期阶段的PI值均无变化。在增殖晚期、分泌早期和分泌晚期，活跃卵巢和不活跃卵巢的PI值分别存在显著差异（p<0.001）。活跃卵巢的PI值与血清孕酮水平显著相关（r = -0.53，p<0.05），但与雌二醇水平无关。这些发现为评估月经周期中的卵巢血流动力学提供了有用的基础。
