囊泡型与硬化型多囊卵巢综合征关系的探讨

Primary Study on the Relationship between the Cystoid Type and the Sclerous Type Polycystic Ovarian Syndrome

目的探讨囊泡型与硬化型多囊卵巢综合征(PCOS)之间的联系。方法对19例囊泡型、26例硬化型PCOS患者及10例非PCOS对照妇女进行血性激素检测、腹腔镜检、卵巢活检、观察卵巢组织的病理形态改变等,比较这两型PCOS之间的异同。结果与囊泡型组相比,硬化型组PCOS患者病程较长,卵巢白膜较厚、胶原增多、髓质间质增生;两组PCOS患者血清性激素水平无显著差异。结论硬化型PCOS可能是囊泡型PCOS病程进展的延续。

Objective To explore the relationships hetween the eystoed type and the selerous type polycyvstic ovarian syndrome（PCOS）. Methods We compared the similarities and differences hetween the two types of PCOS by blood sex hormone measuring, laparoseopy, pathomorphology and so on in 19 patients with eystoid type PCOS, 26 with sclerous type PCOS and lO controlled age-matched non-PCOS women. Results There was no remarkable difference in the sex hormone level hetween the two groups of PCOS. Compared with the patients with cystoid type PCOS, the patients with seleruus type PCOS had longer course of disease, thicker ovarian tunica albuginea, more collagen, and hyperplasia medulla anti stroma. Conclusion The eystoid type PCOS could develop into the sclerous type PCOS when the disease progressed.