阴式探头经直肠超声在诊断未婚女性多囊卵巢综合征中的应用价值

The significance of vaginal probe transrectal ultrasound in diagnosis of unmarried women with polycystic ovary syndrome

目的探讨阴式探头经直肠超声(TRUS)检查在诊断未婚女性多囊卵巢综合征(PCOS)中的应用价值。方法对64例无性生活史的PCOS患者分别行经腹部超声检查(TAS)及TRUS检查,观察患者双侧卵巢,对卵泡个数、卵泡大小、卵巢体积进行测量,对比两种检查方法的结果。结果经TRUS与经TAS在卵巢显示率、卵泡数量及卵泡大小的显示上差异均有有统计学意义(P<0.01或P<0.05);在显示小卵泡方面TRUS较TAS效果更佳,且对于卵巢内部结构上的显示也较TAS更加清晰。结论阴式探头经直肠超声检查可提高PCOS的早期诊断率,效果与经阴道超声相当,在临床中有广泛的应用价值。

Objective To explore the significance of vaginal probe transrectal ultrasound scanning （TRUS） in diagnosis of unmarried women with polycystic ovary syndrome （PCOS）. Methods Sixty four cases of PCOS without sexual life history were examined by transabdominal ultrasonography （TAS） and TRUS. Bilateral ovaries of these patients were examined, number and size of follicles and volume of ovary were compared between these two kinds of examination methods. Results The differences in rate of display of ovary, number of ovarian follicles and size of follicles between TRUS and TAS was statistically significant （ P 〈 0.01 or P 〈 0.05 ）. TRUS in display of small follicles was better than that of TAS, and the display of internal structure in ovary with TRUS was more clear. Conclusion Vaginal probe transrectal ultrasonography can raise the rate of early diagnosis of PCOS, and its effect is equivalent to that of transvaginal ultrasound scanning （TVS）. It has clinical significance in application for diagnosis of polycystic ovary syndrome.