153例月经正常女性卵巢超声测量值分析

Ultrasound Measurements of Ovarian Values in 153 Regular-menstruating Women

目的:研究月经正常的育龄女性其卵巢体积和卵泡数目的超声测量值的范围。方法:153例研究对象按年龄分为3组(第1组13～20岁,第2组21～30岁,第3组31～40岁),于月经周期早卵泡期进行经直肠或阴道B超检查并记录分析其卵巢体积和卵泡数目。结果:平均卵巢体积4.94±2.32cm3,80%的卵巢体积在2.47～7.75cm3;单侧卵巢卵泡数目的中位数为6个,80%的单侧卵泡数目在3～10个;双侧卵巢总卵泡数目的中位数为13个,80%的总卵泡数目在7～20个。卵巢体积在21～30岁组与31～40岁组之间差异有高度统计学意义(P<0.01);卵泡数目在31～40岁组与另外两组之间差异均有统计学意义(P<0.05)。相关分析显示卵泡数目与年龄呈负相关(r=-0.25,P<0.01)。结论:检测的13～40岁月经正常的女性平均卵巢体积、平均卵泡数目的正常值,能为相关疾病的诊治提供参考。

Objective：To obtain the range of ovarian volume and follicle number by ultrasound scanning of regular menstruating women of reproductive age. Methods： 153 subjects ware divided into 3 groups according to their ages： group 1 was from 13 to 20, group 2 was from 21 to 30 and group 3 was from 31 to 40. Transvaginal/transrectal ultrasound scanning was taken at the early follicular phase of menstruation and the results were recorded and analyzed. Results： In total 153 women, the mean ovarian volume was 4.94 ± 2.32 cm^3 and volumes of 80% ovaries were within the range of 2.47 ± 7.75 cm^3; The median follicle number was 6 end follicle numbers of 80% ovaries were within the range of 3 - 10; The median total follicle number was 13 and total follicle numbers of 80% subjects ware within the range of 7 - 20. Ovarian volume between 21- 30 group and 31 - 40 group had statistical difference （ P 〈 0.01 ） and follicle number between 31 -40 group and the other two groups had statistical differences （ P 〈 0.05）. Correlation analysis showed negative relationship between follicle number end age. Conclusions：We get the mean ovarian volume and mean follicle number in 13 - 40 years women with normal menstruation, which provide normal value for diagnosis and treatment of related disease.