彩色多普勒检测多囊卵巢综合征患者子宫内膜分型的临床研究

Clinical Study of Color Doppler Detection of Endometrium in Patients with Polycystic Ovary Syndrome

目的对彩色多普勒超声检测多囊卵巢综合征患者子宫内膜分型的临床特点进行研究。方法选取我院收治的多囊卵巢综合征患者60例为观察组;同期体检健康者60例为对照组。均接受彩色多普勒超声检查并进行比较。结果观察组的子宫内膜厚度和PSV均高于对照组,PI和RI均低于对照组,组间各指标均存在显著差异,有统计学意义(P<0.05)。肥胖和胰岛素患者的PSV均高于非肥胖和非胰岛素患者,且PI和RI均低于非肥胖和非胰岛素患者,差异均存在统计学意义(P<0.05)。结论多囊卵巢综合征患者的子宫内膜厚度明显增加,且其血流动力学指标会受到肥胖、胰岛素抵抗的影响,彩色多普勒检测可以准确反映其变化,为子宫内膜的分型鉴别提供科学参考,具有较高的临床应用价值。

Objective To study the clinical characteristics of the patients with polycystic ovary syndrome detected by color Doppler ultrasound.Methods 60 cases selected from polycystic ovary syndrome patients admitted to our hospital were regarded as the observation group, and 60 cases selected from voluntary participants in healthy women were regarded as control group.All of these two groups were detected by color Doppler ultrasonography.Results The endometrial thickness and PSV of observation group were higher than that of control group, while the PI and RI were lower than control group, and there were significant differences between the groups（P〈0.05）.The PSV of patients with obesity and insulin were higher than that of non-obese and non-insulin patients, and the PI and RI were lower than that of non-obese and non-insulin patients, and the differences were statistically significant （P〈0.05）.Conclusion The endometrial thickness of patients with polycystic ovary syndrome are increased significantly, and the hemodynamics may be affected by obesity and insulin resistance.Color Doppler detection can accurately reflect the changes to provide scientific reference for various types of endometrium, which has high clinical application value.