Obstetrics and Gynecology Department, Koru Ankara Hospital.
Obstetrics and Gynecology Department, SBÜ Ankara Training and Research Hospital, Ankara, Turkey.
Ultrasound Q. 2021 Sep 1;37(3):248-253. doi: 10.1097/RUQ.0000000000000579.
We aimed to compare the ovarian and uterine artery blood flow of anovulatory patients with polycystic ovary syndrome (PCOS) with those of ovulatory women throughout the menstrual cycle using color Doppler ultrasound. Seventy-one women with PCOS, who were admitted to the infertility outpatient clinic of a training and research hospital, were included in the study. The patients were divided into 2 groups as anovulatory (group 1, n = 23) and ovulatory (group 2, n = 37). Each patient was followed up throughout her menstrual cycle and included in either group 1 or group 2. Anovulatory cycles were determined by consecutive ultrasound examinations, and the progesterone value was measured in the luteal period. Eleven patients were excluded from the study because they did not continue their follow-up. The uterine and ovarian artery pulsatility and resistance indices of all patients in both groups were evaluated 3 times throughout a menstrual cycle: 7th to 10th day, 13th to 17th day, and 21st to 25th day. It was observed that the uterine artery resistances of the patients with anovulatory cycles remained relatively high throughout the menstrual cycle compared with ovulatory cycles. Both pulsatility and resistance indices of uterine and ovarian arteries were significantly higher in anovulatory cycles compared with ovulatory cycles at all evaluation times throughout the menstrual cycle (P < 0.05). Ovarian artery resistance in anovulatory patients did not significantly change during the menstrual cycle. Anovulatory patients with PCOS have higher uterine and ovarian artery resistance than ovulatory artery resistance, and the former shows a significant decrease throughout the cycle.
我们旨在通过彩色多谱勒超声比较排卵障碍型多囊卵巢综合征（PCOS）患者和排卵型正常女性在整个月经周期的卵巢和子宫动脉血流。本研究纳入了 71 名因不孕而就诊于某培训和研究医院不孕门诊的 PCOS 患者。根据有无排卵将患者分为两组，即无排卵组（n=23）和排卵组（n=37）。每位患者在整个月经周期中接受随访，并根据情况被纳入无排卵组或排卵组。通过连续超声检查确定无排卵周期，并在黄体期测量孕酮值。11 名患者因失访而被排除在研究之外。评估了两组所有患者的子宫和卵巢动脉搏动指数和阻力指数，共评估 3 次，分别在月经周期的第 7-10 天、第 13-17 天和第 21-25 天。与排卵周期相比，无排卵周期患者的子宫动脉阻力在整个月经周期中保持相对较高。与排卵周期相比，无排卵周期时子宫和卵巢动脉的搏动和阻力指数在整个月经周期的所有评估时间点均显著升高（P<0.05）。无排卵患者的卵巢动脉阻力在整个月经周期中没有明显变化。与排卵型正常女性相比，PCOS 无排卵患者的子宫和卵巢动脉阻力更高，且前者在整个周期内显著降低。
