未破裂卵泡黄素化综合征的超声诊断

目的探讨经阴道超声(TVS)在未破裂卵泡黄素化综合征(LUFS)诊断中的价值。方法应用经阴道超声对495例1259个周期不孕妇女进行连续卵泡监测(自然周期742个、刺激周期517个)。结果1259个周期中，发生LUFS54个周期，发生率4．29％(54／1259)，其中刺激周期发生率5．80％(30／517)，自然周期发生率3．23％(24／742)，重复出现率20．37％(11／54)；36个周期发生在人工授精过程中，13个周期实施人工破泡术，均未获妊娠。结论TVS监测卵泡具有操作简便、安全无创、准确性高、可重复等特点，能动态观察卵泡的形态学改变，了解卵泡发育的全过程，对排卵障碍的治疗提供了有价值的资料。

Sonographic Diagnosis of Luteinized Unruptured Follicle Syndrome

Objective To investigate the diagnostic value of luteinized unruptured follicle syndrome(LUFS) with transvaginal sonography (TVS).Methods In a total of 495 infertile women,follicles were monitored with serial TVS in 1 259 cycles (742 spontaneous cycles,517 stimulated cycles).Results The incidence of LUFS was 4.29% (54/1 259) and the recurrence rate was 20.37%(11/54)which were significantly higher in the stimulated cycles(5.80%) than in spontaneous cycles(3.23%) and 36 cycles occured in the artificial insemination,among which 13 cycles were punctured without any gestation.Conclusions TVS has advantages of convenience,safety,high accuracy and repetition,can explore the whole process of follicular growth by observing follicular morphological changes,and can provide worthy informations for ovulation obstacle therapy.