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| Value of transvaginal three-dimensional ultrasound combined with anti-Mullerian hormone level for evaluating ovarian reserve function |
| Changxing Maternal and Child Health Care Hospital, Zhejiang Province, 313100 |
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Abstract To analyze the value of transvaginal three-dimensional ultrasound (TTDU) combined with anti-Mullerian hormone (AMH) level for evaluating ovarian reserve function. Methods: 120 women who underwent prenatal examination from April 2017 to June 2019 were collected retrospectively and were divided into group A (women with premature ovarian failure), group B (women with ovarian reserve function decreases), and group C (women with normal ovarian reserve function) according to ovarian reserve function (ORF). The parameters by TTDU, and the levels of sex hormone and AMH of women were compared among the three groups. The correlation between ultrasound parameters and AMH and sex hormone levels, and their values for diagnosing ORF were analyzed. Results: The level of FSH or LH of women in group A was the highest, but that of women in group C was the lowest (P＜0.05. There were no significant different in P and PRL levels of women among the three groups (P＜0.05).There was no significant difference in P and PRL levels among groups (P>0.05). The ultrasound parameter, such as AFC, or the value of OV,VI,FI or VFI, or AMH level of women in group A was the lowest, but that of women in group C was the highest (P＜0.05). AFC, and the values of OV, VI, FI and VFI were positively correlated with AMH level (P＜0.05). The sensitivity, the specificity, and the accuracy of ultrasound parameters combined with MAH level for evaluating ORF were 94.4%, 87.7%, and 90.4%, respectively, which were significant superior to those of ultrasound parameter or MAH level alone (P＜0.05). Conclusion: The ultrasound parameters by TTDU combined with MAH level for evaluating ORF has good value.
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