盆腔超声影像检查在诊断女孩性早熟中的应用

PRECOCIOUS PUBERTY IN GIRLS DIAGNOSED WITH PEL VIC ULTRASONIC IMAGING

应用Ｂ超影像检查方法，获得１００例正常青春发育各期女孩子宫和卵巢的各项有关数据。同时对经过长期随访确诊的各种性早熟女孩６６例的子宫和卵巢形态变化与ＬＨＲＨ试验结果作一对比分析。结果表明，盆腔Ｂ超检查是一种间接观察下丘脑－性腺轴功能的简便易行的方法。由于青春发育过程中存在个体变异，故应结合临床资料、ＬＨＲＨ试验及Ｂ超随访检查，对女孩性早熟作出综合评估。

Uteri and ovaries of 100 normal girls were examined with B-type ultrasound in order to obtain the reference values in differentstages of normal puberty.Comparing analysis of uterine and Ovarian morphological changes of 66 girls with various precocious pu-berty identified by long-term follow-up and with the results of LHRH test showed that:pelvic B-type ultrasound examination is asimple and reliable technique for the indirect assessment of the hypothalamic-gonad axis function. But,since there are some individ-ual variations existing in the course of puberty,we conclude that the function of hypothalamic-gonad axis of girls with precociouspuberty must be estimated comprehensively together with history,physical examinaion,and sometimes with LHRH test.