El-Mazny Akmal, Ramadan Wafaa, Kamel Ahmed, Gad-Allah Sherine
Department of Obstetrics and Gynecology, Faculty of Medicine, Cairo University, Egypt.
Department of Obstetrics and Gynecology, Faculty of Medicine, Cairo University, Egypt.
Eur J Obstet Gynecol Reprod Biol. 2016 Apr;199:55-9. doi: 10.1016/j.ejogrb.2016.01.046. Epub 2016 Feb 8.
To evaluate the effect of hydrosalpinx on uterine and ovarian blood flows in women with tubal factor infertility.
In a cross-sectional study at a university teaching hospital, 60 women with hydrosalpinx-related tubal infertility (hydrosalpinx group) were compared with 60 women with male or unexplained infertility (non-hydrosalpinx group). In the mid-luteal (peri-implantation) phase of the cycle, endometrial thickness, uterine and ovarian artery pulsatility index (PI) and resistance index (RI), and endometrial and ovarian volume and 3D power Doppler vascularization index (VI), flow index (FI), and vascularization flow index (VFI) were measured in both groups.
The endometrial VI (p=0.002), FI (p=0.041), and VFI (p=0.018), and ovarian VI (p=0.011), and VFI (p=0.015) were significantly lower in the hydrosalpinx group than in the non-hydrosalpinx group. However, the endometrial thickness, uterine artery PI and RI, ovarian artery PI and RI, endometrial volume, and ovarian volume and FI were not significantly different between the two groups.
Hydrosalpinx is associated with impaired endometrial and ovarian blood flows which may adversely affect endometrial receptivity and oocyte quality.
评估输卵管积水对输卵管因素不孕症女性子宫和卵巢血流的影响。
在一所大学教学医院进行的一项横断面研究中，将60例与输卵管积水相关的输卵管性不孕症女性（输卵管积水组）与60例男性因素或不明原因不孕症女性（非输卵管积水组）进行比较。在月经周期的黄体中期（着床期），测量两组的子宫内膜厚度、子宫和卵巢动脉搏动指数（PI）和阻力指数（RI），以及子宫内膜和卵巢体积及三维能量多普勒血管化指数（VI）、血流指数（FI）和血管化血流指数（VFI）。
输卵管积水组的子宫内膜VI（p=0.002）、FI（p=0.041）和VFI（p=0.018），以及卵巢VI（p=0.011）和VFI（p=0.015）显著低于非输卵管积水组。然而，两组之间的子宫内膜厚度、子宫动脉PI和RI、卵巢动脉PI和RI、子宫内膜体积、卵巢体积及FI无显著差异。
输卵管积水与子宫内膜和卵巢血流受损有关，这可能会对子宫内膜容受性和卵母细胞质量产生不利影响。
