超声检查技术在多囊卵巢综合症诊断及治疗中的应用体会

Experience of ultrasound technology in the diagnosis and treatment of polycystic ovary syndrome

目的:总结分析超声检查技术在多囊卵巢综合症诊断及治疗中的应用体会。方法:在本院2016年9月—:在本院2017年9月间接诊的多囊卵巢综合症患者中随机选取80例作为本次研究的对象作为A组,另外选取80例同期体检的健康人群作为B组,两组均进行超声检查,比较两组检查结果。将A组患者分为A1和A2两个组,每组各40例,A1组患者按照常规方式治疗并监测,A2组患者根据超声监测结果进行指导性治疗,比较两组的治疗效果。结果:经过对比分析,A组患者的左右两侧卵巢体积及卵泡个数均明显高于B组,而A组患者的卵泡直径均明显小于B组。A1、A2两组患者经过根据超声监测结果进行指导性治疗,A1组患者的周期妊娠例数为3例,周期妊娠率为7.50%;排卵正常例数为17例,排卵正常率为42.5%。A2组患者的周期妊娠例数为13例,周期妊娠率为32.5%;排卵正常例数为21例,排卵正常率为52.5%;A2组患者的治疗效果明显高于A1组。在治疗诱发排卵过程中A1组患者出现卵巢过度刺激综合征11例,发生率为27.5%;明显高于A2组的3例(7.50%)。其比较差异有统计学意义(P<0.05)。结论:超声检查能够清楚提示多囊卵巢综合症患者的卵巢体积、卵泡个数及卵泡直径,为准确诊断提供可靠依据。在治疗过程中采用超声技术对治疗效果进行监测,可以根据监测结果对治疗进行指导,有效提高治疗效果。

Objectivee To summarize and analyze the application of ultrasonography in the diagnosis and treatment of polycystic ovary syndrome in women with polycystic ovary syndrome. c ovary syndrome in women with polycystic ovary syndrome. Methods Methods In our hospital from September 2016 to September 2017 admissions of patients between the 80 cases were randomly selected as the research objects were selected as A group, 80 healthy people undergoing physical examination as group B, two group were examined by ultrasonography, comparing the test results of two groups. Group A patients were divided into A1 and A2 two groups, 40 cases in each group. The patients in the A1 group according to the conventional way of treatment and monitoring of patients in the A2 group to guide treatment according to the monitoring results of ultrasound and compared between the two groups The results of treatment. Through comparative analysis, A group of patients on both sides of the volume and the number of ovarian follicles were significantly higher than that in B group, while the diameter of follicle in A group were significantly less than B group. A1, A2 two groups of patients after treatment according to the monitoring results of the guidance of ultrasound, the patients in the A1 group the number of cases of pregnancy period in 3 cases, the cycle pregnancy rate was 7.50%; the number of cases to 17 cases of normal ovulation, ovulation rate for the period 42.5%.A2 in patients with pregnancy for 13 cases, the pregnancy rate was 32.5%; normal ovulation for 21 cases, normal ovulation rate was 52.5%; A2 group of patients with treatment Higher than that of A1 group. In the treatment of ovulation induction in A1 group, patients with ovarian hyperstimulation syndrome in 11 cases, the incidence rate was 27.5%; 3 cases were significantly higher than those in A2 group(7.50%). The difference was statistically significant(P < 0.05). Conclusion Conclusion Ultrasonography can clearly indicate ovarian volume in patients with polycystic ovary syndrome, follicle number and follicle diameter, and provide a reliable basis for accurate diagnosis. Ultrasound is used to monitor the therapeutic effect in the treatment process, can guide the treatment according to the monitoring results, effectively improve the therapeutic effect.