多囊卵巢综合征不同临床表现患者超声参数与内分泌指标特征分析

Analysis on Characteristics of Ultrasonic Parameters and Endocrine Indicators in Different Clinical Manifestations of Patients with Polycystic Ovary Syndrome

目的分析多囊卵巢综合征不同临床表现患者的超声参数及内分泌指标特征。方法选取我院2014年10月至2015年10月期间收治的98例多囊卵巢综合征患者,按体质指数(BMI)分为肥胖组(42例)和非肥胖组(56例)。对比两组患者的超声参数和内分泌指标,分析超声参数与内分泌指标的关系。结果肥胖组的卵巢直径、卵泡数目、卵巢体积、卵泡体积和血流指数均高于非肥胖组(P<0.05)。肥胖组的FINS、TC、FAI、HOMA-IR水平均高于非肥胖组,FSH、SHBG水平均低于非肥胖组(P均<0.05)。肥胖组的卵泡数目与FAI呈明显正相关,卵巢体积与FAI、HOMA-IR呈正相关,血流指数与FAI呈正相关(P均<0.05);其余指标均无相关性(P>0.05)。结论肥胖型与非肥胖型多囊卵巢综合征患者的超声参数和内分泌指标具有一定的差异性,肥胖患者的超声参数与内分泌指标特征存在显著关系。

Objective To analyze the characteristics of ultrasonic parameters and endocrine indicators in different clinical manifestations of patients with polycystic ovary syndrome. Methods 98 cases of patients with polycystic ovary syndrome in our hospital from October 2014 to October 2015 were selected and divided into obesity group （42 cases） and non-obesity group （56 cases） according to the patients＇ BMI. The ultrasonic parameters and endocrine indicators were compared between two groups, and the correlation between ultrasonic parameters and endocrine indicators was analyzed. Results The ovarian diameter, follicle numbe, ovarian volume, follicle volume and blood flow index of obesity group were higher than those of non-obesity group （P 〈0.05）. The FINS, TC, FAI and HOMA-IR levels of obesity group were higher than those of non-obesity group, and the FSH and SHBG levels were lower than those of non-obesity group （all P 〈0.05）. In obesity group, the follicle number was positively correlated with FAI, the ovarian volume was positively correlated with FAI and HOMA-IR, and the blood flow index was positively correlated with FAI （all P 〈0.05）; The other indicators had no correlations （P〉0.05）. Conclusions The ultrasonic parameters and endocrine indicators of obese and non-obese patients with polycystic ovary syndrome have certain differences. The characteristics of ultrasonic parameters and endocrine indicators of obese patients have significant correlation.