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Vojnosanitetski pregled
2008, vol. 65, br. 10, str. 743-750
jezik rada: srpski
vrsta rada: originalan članak
doi:10.2298/VSP0810743K


Kolor dopler prikaz i merenja intraovarijumske i intrauterusne vaskularizacije na početnom ultrazvučnom pregledu u spontanim ovulacijskim i neovulacijskim ciklusima
Klinički centar, Ginekološko akušerska klinika, Niš

e-adresa: kutlesicr@medianis.net

Sažetak

Uvod/Cilj. Funkcija svakog organa direktno zavisi od vaskularizacije. Ovo važi i za uterus i jajnike čija se vasularizacija menja tokom menstrualnog ciklusa. Cilj ovog rada bio je da se utvrdi postojanje razlika u protoku krvi kroz arteriole uterusa i strome jajnika na početnom ultrazvučnom pregledu (dan 2-4) tokom spontanih ovulacijskih i neovulacijskih ciklusa. Metode. Ovo prospektivno kliničko ispitivanje obuhvatilo je 205 bolesnika podeljenih u dve grupe: sa ovulacijskim i neovulacijskim ciklusima. Prilikom početnog ultrazvučnog pregleda rađen je i kolor dopler (CD) prikaz i merenja vaskularizacije strome jajnika, arteriola arkuata, radijalnih i subendometrijnih arteriola uterusa. Rezultati. Rezistencija protoku krvi kroz arteriole strome jajnika značajno je bila niža kod bolesnica sa ovulacijskim ciklusima (PI 0,97 ± 0,4 prema 1,93 ± 1,37; p = 0,001737 i RI 0,55 ± 0,12 prema 0,68±0,14; p = 0,040033). Nisu registrovane statistički značajne razlike u protoku krvi kroz arteriole arkuate bolesnice sa ovulacijskim i neovulacijskim ciklusima (pulsatilni indeks - PI 1,21 ± 0,34 prema 1,61±0,61; p = 0,136161 i indeks rezistencije - RI 0,64 ± 0,11 prema 0,74 ± 0,07; p = 0,136649). Bolesnice sa ovulacijskim ciklusima imale su nižu rezistenciju protoku krvi kroz radijalne arteriole uterusa u odnosu na bolesnice sa neovulacijskim ciklusima (PI 1,001 ± 0,22 prema 1,61 ± 0,23 p = 0,007501 i RI 0,55 ± 0,08 prema 0,71 ± 0,12; p = 0,0460113). Bolesnice sa ovulacijskim ciklusima imale su nižu rezistenciju protoku krvi kroz subendometrijumske arteriole (PI 0,69 ± 0,19 prema 1,385 ± 0,09; p = 0,00622 i RI 0,44 ± 0,09 prema 0,65 ± 0,02; p = 0,027458). Zaključak. Kolor dopler ultrazvučni prikaz i merenja protoka krvi kroz arteriole uterusa i strome jajnika na početnom ultrazvučnom pregledu (dan 2-4), ukazuju na nižu rezistenciju protoku krvi u ovulacijskim ciklusima u odnosu na neovulacijske.

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