运用阴式B超探讨五轮望诊对卵巢功能评估的临床观察

Use of Transvaginal Ultrasound in the Ovarian Functional Evaluation by TCM Five Inspections

目的:在阴式B超监测下探讨五轮望诊对女性卵巢功能评估的临床诊断价值及可行性。方法:80例不孕症患者在自然月经周期的卵泡期,经阴道B超下监测平均卵巢体积(Mean Ovarian Diameter,MOD)及窦卵泡计数(Antral Follicle Count,AFC),同期对每位患者进行五轮望诊法评分,统计分析五轮望诊对卵巢功能评估的轻重趋势及其阴道B超监测下的MOD及AFC数据趋势,比较两种结果,评估五轮望诊对卵巢功能的诊断价值。结果:五轮望诊与阴道B超监测的MOD及AFC具有直线相关性(P<0.05),表明五轮望诊对卵巢功能评估有统计学意义;诊断试验受试者工作特征曲线(Receiver Operating Characteristic Curvers,ROC)的分析显示渐近95%置信区间为(0.546,0.838),不包括0.5,表明五轮望诊对卵巢功能评估的轻重用于判别卵巢功能具有一定价值。结论:五轮望诊对女性卵巢功能的判断具有可行性及临床诊断价值。

Objective：To explore the clinical diagnosis value and feasibility of TCM Five Inspections on ovarian function using transvaginal ultrasound. Method： Eighty infertile females in follicular phase of natural menstrual cycle, had the mean ovarian diameter （MOD） and antral follicle count （AFC） measured using transvaginal ultrasound, and evaluated by five inspections. Compared the results of two evaluation methods. Results： The diagnosis results of the Five Inspections had a linear correlation with MOD and AFC results （ P 〈 0.05 ）, indicating the Five Inspections on ovarian function assessment is statistically significant, the ROC（ receiver operating characteristic curves） showed the asymptotic 95 % confidence interval （0. 546,0.838 ）, not including 0.5, indicating that the Five Inspections had some application value on ovarian function assessment. Conclusion： TCM Five Inspections can be used in the diagnosis of the ovarian function.