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Doppler couleur energie au cours du cycle menstruel

par Zinga, B.;Levi, Salvator ;Lescrainier, Jean Paul ;Longo-Mbenza Ben-I-Sasa, Benjamin
Référence Revue Francaise de Gynecologie et d'Obstetrique, 94, 5, page (333-339)
Publication Publié, 1999

Article révisé par les pairs

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Résumé :

Doppler ultrasonography has been used over the last few years to investigate uteroovarian hemodynamics during the menstrual cycle in women and in nonhuman primates. In the present study, pulsed and energy Doppler imaging was used to determine the PI and RI values of the arcuate, radial, and endometrial uterine arteries and ovarian stroma on days 9, 12, 15, 23, and 26 of the menstrual cycle in ten young volunteers. Cycles were classified as ovulatory (n = 7) or nonovulatory (n = 3) based on the temperature curve and on whether a corpus luteum was visible upon ultrasonography. PI and RI values of the arcuate and radial uterine arteries on the dominant side were significantly lower during the luteal phase than during the follicular phase (P < 0.05). Only during ovulatory cycles were the endometrial arteries visualized during the luteal phase. Thickness of the endometrium was positively correlated with endometrial PI and RI values (r = 0.47; P < 0.01). Perifollicular flows were visualized on day 9 during both ovulatory and nonovulatory cycles. No significant differences were found in perifollicular PI and RI values between the dominant side and the nondominant side; neither were significant differences found in anovulatory cycle PI and RI values between the right side and the left side. PI values for ovarian stroma arteries on the side of ovulation decreased throughout the cycle, from 1.36 ± 0.28 on D9 to 1.25 ± 0.82 on D23 and 1 ± 0.21 on D26; the decrease was less marked on the opposite side. Pulsed and energy Doppler imaging demonstrates endometrial vascularization and increased blood flows in the ovarian stroma and corpus luteum indicating better perfusion during ovulatory cycles.