彩色多普勒超声在多囊卵巢综合征患者中医证候分型中的应用价值

Application Value of Color Doppler Ultrasound in Classification of Chinese Medicine Syndrome of Patients with Polycystic Ovary Syndrome

目的:探讨多囊卵巢综合征患者中医证候分型中实施彩色多普勒超声诊断的临床价值。方法:将多囊卵巢综合征患者202例作为研究对象,以中医证候分型为基准,分为肾虚肝郁型51例、肾虚血瘀型45例、脾虚痰湿型75例、痰瘀互结型31例,对202例患者均实施彩色多普勒超声诊断,对其卵巢形态、血流动力学参数评估。结果:肾虚血瘀型组、痰瘀互结型组搏动指数(PI)、阻力指数(RI)高于肾虚肝郁型组及脾虚痰湿型组(P <0.05),脾虚痰湿型组、痰瘀互结型组收缩期峰值血流速度(PSV)、舒张期峰值血流速度(EDV)低于肾虚肝郁型组及肾虚血瘀型组(P <0.05)。脾虚痰湿型组、痰瘀互结型组卵巢体积、卵泡数、体质量指数高于肾虚肝郁型组、肾虚血瘀型组(P <0.05),脾虚痰湿型组卵巢面积、髓质面积高于肾虚肝郁型组、肾虚血瘀型组及痰瘀互结型组(P <0.05)。结论:多囊卵巢综合征患者中医证候分型中实施彩色多普勒超声诊断的临床价值显著,其通过对卵巢体积、卵泡数、卵巢面积及血流速度等的评估可对疾病中医分型进行判断。

Objective: To discuss the clinical value of applying color doppler ultrasound for diagnosis in classification of Chinese medicine syndrome of patients with polycystic ovary syndrome. Methods: A total of 202 cases of patients with polycystic ovary syndrome were selected as the study subjects;according to the classification of Chinese medicine syndrome,they were divided into the kidney deficiency and liver depression type(51 cases),the kidney deficiency and blood stasis type(45 cases),the spleen deficiency and phlegm-dampness type(75 cases) and the binding of phlegm and stasis type(31 cases). All patients received color doppler ultrasound for diagnosis, and their ovarian morphology and hemodynamic parameters were evaluated. Results:The pulsatility index(PI) and resistance index(RI) in the kidney deficiency and blood stasis type group and the binding of phlegm and stasis type group were higher than those in those in the other two groups(P <0.05),and the peak systolic velocity(PSV) and end diastolic velocity(EDV) in the spleen deficiency and phlegm-dampness type group and the binding of phlegm and stasis type group were lower than those in the other two groups(P < 0.05). The ovarian volume,number of follicles and body mass index in the spleen deficiency and phlegm-dampness type group and the binding of phlegm and stasis type group were higher than those in the other two groups(P < 0.05);the ovarian area and ovarian stroma area in the spleen deficiency and phlegm-dampness type group were larger than those in the other three groups(P <0.05). Conclusion:The application of color doppler ultrasound in classification of Chinese medicine syndrome of patients with polycystic ovary syndrome has significant clinical value. The syndrome types of the disease were classified by the evaluation of ovarian volume,number of follicles,ovarian area and blood flow velocity.