摘要
Objective: To investigate the correlation of blood flow detected by color Doppler sonography in the endometrial-subendometrial unit with pregnancy outcome of IVF-ET treatments. Design: Prospective clinical study. Setting: University setting. Patient(s): Six hundred twenty-three patients selected prospectively on the day of ET. Intervention(s): Transvaginal ultrasound examination was performed before ET. Main Outcome Measure(s): Association between pregnancy outcome and distribution of endometrial-subendometrial blood flow (primary outcome measure) and between pregnancy rate and endometrial measurements as well as uterine arterial blood flow (secondary outcome measures). Result(s): The overall pregnancy rate was 28.4% (177/623) per ET. The pregnancy and implantation rates of patients with the presence of both endometrial and subendometrial flow were 47.8% (64/134) and 24.2% (94/388); for patients with subendometrial flow only, 29.7% (102/343) and 15.8% (153/967); and for patients with no detectable endometrial-subendometrial flow, 7.5% (11/146) and 3.5% (13/376), respectively. The presence of both endometrial and subendometrial blood flow is indicative of good endometrial receptivity, whereas the absence of both represents a poor uterine environment. Nondetectable endometrial-subendometrial flow was associated with women who were older, had a thinner endometrium, and had higher uterine arterial resistance compared with those women who had detectable flow. Conclusion(s): Endometrial-subendometrial blood flow distribution pattern assessed by transvaginal color Doppler before ET is correlated with the implantation and pregnancy rate of IVF treatment.
| 原文 | 英語 |
|---|---|
| 頁（從 - 到） | 245-251 |
| 頁數 | 7 |
| 期刊 | Fertility and Sterility |
| 卷 | 78 |
| 發行號 | 2 |
| DOIs | |
| 出版狀態 | 已發佈 - 2002 |
指紋
ASJC Scopus subject areas
- Obstetrics and Gynaecology
引用此文
Assessment of uterine receptivity by the endometrial-subendometrial blood flow distribution pattern in women undergoing in vitro fertilization-embryo transfer. / Chien, Li W.; Au, Heng Kien; Chen, Ping Ling; Xiao, Jean; Tzeng, Chii Ruey.
於: Fertility and Sterility, 卷 78, 編號 2, 2002, p. 245-251.研究成果: 雜誌貢獻 › 文章
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TY - JOUR
T1 - Assessment of uterine receptivity by the endometrial-subendometrial blood flow distribution pattern in women undergoing in vitro fertilization-embryo transfer
AU - Chien, Li W.
AU - Au, Heng Kien
AU - Chen, Ping Ling
AU - Xiao, Jean
AU - Tzeng, Chii Ruey
PY - 2002
Y1 - 2002
N2 - Objective: To investigate the correlation of blood flow detected by color Doppler sonography in the endometrial-subendometrial unit with pregnancy outcome of IVF-ET treatments. Design: Prospective clinical study. Setting: University setting. Patient(s): Six hundred twenty-three patients selected prospectively on the day of ET. Intervention(s): Transvaginal ultrasound examination was performed before ET. Main Outcome Measure(s): Association between pregnancy outcome and distribution of endometrial-subendometrial blood flow (primary outcome measure) and between pregnancy rate and endometrial measurements as well as uterine arterial blood flow (secondary outcome measures). Result(s): The overall pregnancy rate was 28.4% (177/623) per ET. The pregnancy and implantation rates of patients with the presence of both endometrial and subendometrial flow were 47.8% (64/134) and 24.2% (94/388); for patients with subendometrial flow only, 29.7% (102/343) and 15.8% (153/967); and for patients with no detectable endometrial-subendometrial flow, 7.5% (11/146) and 3.5% (13/376), respectively. The presence of both endometrial and subendometrial blood flow is indicative of good endometrial receptivity, whereas the absence of both represents a poor uterine environment. Nondetectable endometrial-subendometrial flow was associated with women who were older, had a thinner endometrium, and had higher uterine arterial resistance compared with those women who had detectable flow. Conclusion(s): Endometrial-subendometrial blood flow distribution pattern assessed by transvaginal color Doppler before ET is correlated with the implantation and pregnancy rate of IVF treatment.
AB - Objective: To investigate the correlation of blood flow detected by color Doppler sonography in the endometrial-subendometrial unit with pregnancy outcome of IVF-ET treatments. Design: Prospective clinical study. Setting: University setting. Patient(s): Six hundred twenty-three patients selected prospectively on the day of ET. Intervention(s): Transvaginal ultrasound examination was performed before ET. Main Outcome Measure(s): Association between pregnancy outcome and distribution of endometrial-subendometrial blood flow (primary outcome measure) and between pregnancy rate and endometrial measurements as well as uterine arterial blood flow (secondary outcome measures). Result(s): The overall pregnancy rate was 28.4% (177/623) per ET. The pregnancy and implantation rates of patients with the presence of both endometrial and subendometrial flow were 47.8% (64/134) and 24.2% (94/388); for patients with subendometrial flow only, 29.7% (102/343) and 15.8% (153/967); and for patients with no detectable endometrial-subendometrial flow, 7.5% (11/146) and 3.5% (13/376), respectively. The presence of both endometrial and subendometrial blood flow is indicative of good endometrial receptivity, whereas the absence of both represents a poor uterine environment. Nondetectable endometrial-subendometrial flow was associated with women who were older, had a thinner endometrium, and had higher uterine arterial resistance compared with those women who had detectable flow. Conclusion(s): Endometrial-subendometrial blood flow distribution pattern assessed by transvaginal color Doppler before ET is correlated with the implantation and pregnancy rate of IVF treatment.
KW - Blood flow
KW - Color Doppler
KW - Endometrial receptivity
KW - Endometrial-subendometrial unit
KW - In vitro fertilization
UR - http://www.scopus.com/inward/record.url?scp=0036326202&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0036326202&partnerID=8YFLogxK
U2 - 10.1016/S0015-0282(02)03223-5
DO - 10.1016/S0015-0282(02)03223-5
M3 - Article
C2 - 12137858
AN - SCOPUS:0036326202
VL - 78
SP - 245
EP - 251
JO - Fertility and Sterility
JF - Fertility and Sterility
SN - 0015-0282
IS - 2
ER -