经阴道超声检查联合激素检测在多囊卵巢综合征诊断中的价值

Value by transvaginal ultrasonography combined with hormone test in diagnosis of polycystic ovarian syndrome

目的探讨经阴道超声检查联合激素检测在多囊卵巢综合征(PCOS)诊断中的价值。方法 39例PCOS患者作为研究组,39例进行健康体检的正常女性作为对照组,对所有研究对象行阴道超声联合激素检测,对比两组血清卵巢体积(OV)、卵巢间质面积(SA)、卵巢总面积(TA)、卵泡数量(FN)、卵巢间质面积/总面积(SA/TA)表达水平,分析两组卵巢形态学与卵巢间质内血流动力学。结果研究组患者卵巢间质动脉峰值流速(Vmax)与对照组对比明显升高,而搏动指数(PI)、阻力指数(RI)与对照组相比均明显降低,研究组患者OV、SA、FN、SA/TA及卵泡刺激素(FSH)、促黄体生成素(LH)、睾酮(T)水平均明显高于对照组,雌二醇(E_2)水平低于对照组,比较差异均具有统计学意义(P<0.05)。结论阴道超声检查联合激素检测可明显提高PCOS临床诊断率,具有较高的临床推广及应用价值。

ObjectiveTo investigate value by transvaginal ultrasonography combined with hormone test in diagnosis of polycystic ovarian syndrome （PCOS）.MethodsThere were 39 PCOS patients as research group and 39 healthy women as control group receiving transvaginal ultrasonography combined with hormone test. Comparison was made on ovarian volume （OV）, stromal area （SA）, ovarian total area （TA）, follicles number （FN）, stromal area/total area （SA/TA） levels between the two groups. Analysis was made on ovarian morphology and ovarian stroma haemodynamics.ResultsThe research group had higher ovarian stroma peak systolic velocity （Vmax） and lower pulsatility index （PI）, resistance index （RI） than the control group. The research group had obviously higher OV, SA, FN, SA/TA, follicle-stimulating hormone （FSH）, luteinizing hormone （LH）, testosterone （T） levels and lower estradiol （E2） level than the control group. Their differences all had statistical significance （P〈0.05）.ConclusionCombination of transvaginal ultrasonography and hormone test can improve clinical diagnosis rate of PCOS, and it contains highly clinical promoting and applying value.