Uterine hemodynamics in patients with unexplained infertility and with a history of miscarriage

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Objective. To identify the features of uterine hemodynamics in the patients with unexplained infertility and the patients with a history of miscarriage.

Material and methods. A total of 263 patients planning pregnancy were included in the study. The patients were divided into 3 groups: 108 women with unexplained infertility (infertility group), 116 patients with a history of miscarriage (miscarriage group) and 39 fertile women (control group). The patients underwent an ultrasound examination to assess uterine perfusion.

Results. The average value of the pulsatility index in the right and left uterine arteries >3.0 was detected in 25.9% of patients with infertility, in 16.4% of patients with a history of miscarriage, and in 7.7% of the control group (between the infertility and control groups p<0.05). Spiral arteries were not visualized in 13.9% of patients with infertility, in 10.3% of women with a history of miscarriage, and were detected in all fertile women (infertility group vs. control, p<0.05; miscarriage group vs. control, p<0.05).

Conclusion. In assessing the pregravid state of the endometrium, it is advisable to use the following indicators: visualization of spiral arteries and the average value of the pulsatility index in the right and left uterine arteries >3.0.

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作者简介

T. Filipenkova

S.S. Yudin State Clinical Hospital of the Moscow City Health Department

编辑信件的主要联系方式.
Email: arvensa@list.ru
ORCID iD: 0000-0003-1443-8671
俄罗斯联邦, Moscow

L. Shcherbakova

S.S. Yudin State Clinical Hospital of the Moscow City Health Department; M.V. Lomonosov Moscow State University

Email: arvensa@list.ru
ORCID iD: 0000-0003-2681-4777
SPIN 代码: 3138-4565

Associate Professor, MD

俄罗斯联邦, Moscow; Moscow

M. Alexeenkova

M.V. Lomonosov Moscow State University

Email: arvensa@list.ru
ORCID iD: 0000-0003-1910-6940
SPIN 代码: 6399-6297

Candidate of Medical Sciences

俄罗斯联邦, Moscow

D. Revina

M.V. Lomonosov Moscow State University

Email: arvensa@list.ru
ORCID iD: 0000-0001-9801-7289
SPIN 代码: 3524-0297

Candidate of Medical Sciences

俄罗斯联邦, Moscow

O. Panina

M.V. Lomonosov Moscow State University

Email: arvensa@list.ru
ORCID iD: 0000-0003-1397-6208
SPIN 代码: 2105-6871

Professor, MD

俄罗斯联邦, Moscow

参考

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