经阴道彩色多普勒超声对多囊卵巢综合征的诊断价值

Clinical Value of Transvaginal Color Doppler Ultrasound in the Diagnosis of Polycystic Ovarian Syndrome

目的:观察经阴道彩色多普勒超声对多囊卵巢综合征的诊断价值。方法:行经阴道彩色多普勒超声检查,首先常规检查子宫,然后检查两侧卵巢,充分显示卵巢。选用面积测量法测量卵巢的面积及卵巢髓质的面积,然后计算卵巢髓质与卵巢的面积比值,并记录。启动彩色多普勒和频谱多普勒测量卵巢髓质的PI、RI值,所有数据均测量三次取其平均值,所有病例经确诊后分组进行比较。结果:多囊卵巢综合征组和卵巢多囊化组的面积比值、卵巢髓质PI,RI值比较差异有显著性(P<0.05)。结论:卵巢髓质面积与卵巢面积的比值、卵巢髓质PI,RI值有重要辅助诊断多囊卵巢综合征的价值。

Objective： To investigate the clinical value of transvaginal color Doppler ultrasound （TVCDU） in polycystic ovarian syndrome （PCOS）. Methods： Bilateralis ovaries and uterus were examinated by TVCDU and ovaries area, ovarian medulla area were meastured by area measurement, then the ratio of ovarian medulla area to ovaries area was caculated. PI and RI of ovarian medulla were analysed with color Doppler and Doppler spectral imaging . Results： There was statistically significance in area ratio, and PI, RI of ovarian medulla between pelycystic ovarian syndrome and polycystic ovarian （ P 〈 0.05）. Conclusions： The ratio of ovarian medulla area to ovaries area, PI, RI of ovarian medulla were important role in diagnosis of PCOS index.