产后埃及水牛卵巢和子宫血流动力学及其与类固醇激素水平的关系

H. El-Sherbiny, K. El-Shahat, A. A. Abo El-maaty, E. Abdelnaby
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引用次数: 10

摘要

本研究旨在评估产后埃及水牛卵巢和子宫血流动力学及其与类固醇激素水平(孕酮和雌激素)的关系。本文用经直肠多普勒超声检查了6头正常产犊的多产水牛的同侧和对侧卵巢和子宫动脉的血流情况。于产后1 ~ 6周测定产妇的多普勒参数:峰值收缩速度(PSV)、血流量(BFV)、阻力(RI)和脉搏指数(PI)。测定卵巢、子宫动脉直径(mm)和卵巢血管化面积(mm2)。从产犊后第1周开始采集血液,此后每隔一周进行一次超声多普勒检查,检测孕酮和雌二醇水平。结果显示,与产犊后第1周相比,同侧卵巢和子宫动脉PI和RI持续且显著升高(P<0.05)。但产犊后第1周至第6周,卵巢和子宫动脉的血流量和峰值收缩速度逐渐下降。在同侧和对侧卵巢和子宫动脉中,PSV和BFV呈正相关。产后4周孕酮血药浓度明显低于产后5、6周(P<0.05)。血液中的雌二醇17-β则相反。本研究结果表明,多普勒超声是评估产褥期卵巢和子宫灌注变化的一种合适的工具。
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Ovarian and uterine haemodynamics and their relation to steroid hormonal levels in postpartum Egyptian buffaloes
The current study aimed to assess the ovarian and uterine haemodynamics in postpartum (pp) Egyptian buffaloes and their relation to steroid hormonal levels (progesterone and estrogen). Six multiparous buffalos with normal calving were examined by using trans-rectal Doppler sonography to assess the blood flow in ipsilateral and contralateral ovarian and uterine arteries. Doppler parameters viz. peak systolic velocity (PSV), blood flow volume (BFV), resistance (RI) and pulsatility index (PI) were measured at 1st till 6th postpartum weeks. In addition, diameters (mm) of the ovarian and uterine arteries and the vascularisation area (mm2) of ovary were determined. The blood samples were collected starting from 1st week post calving and every week thereafter following each ultrasound Doppler examination for assay of progesterone and estradiol. Results indicated that PI and RI increased consistently and significantly (P<0.05) till the 6th week post calving as compared to those recorded at 1st week in ipsilateral ovarian and uterine arteries. However, the blood flow volume and peak systolic velocity in both ovarian and uterine arteries decreased gradually from 1st week till the 6th week after calving. There were very strong positive correlations between PSV and BFV, in both ipsilateral and contralateral ovarian and uterine arteries. Blood concentrations of progesterone were lower (P<0.05) during the first four weeks than those recorded at 5th and 6th postpartum weeks. This trend was reversed for blood estradiol 17-β. The results of the present investigation concluded that Doppler ultrasonography is a suitable tool for assessing changes in ovarian and uterine perfusion during the puerperium.
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来源期刊
BULGARIAN JOURNAL OF VETERINARY MEDICINE
BULGARIAN JOURNAL OF VETERINARY MEDICINE Veterinary-Veterinary (all)
CiteScore
1.00
自引率
0.00%
发文量
26
审稿时长
15 weeks
期刊介绍: BJVM is a no-fee open-access scientific quarterly journal which covers topics related to both fundamental and applied aspects of veterinary medicine and to closely connected subjects with it. The journal publishes original papers, short communications and reviews.
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