经腹部超声联合经阴道超声诊断多囊卵巢综合征的价值

Diagnostic value of transabdominal ultrasound combined with transvaginal ultrasound for polycystic ovary syndrome

目的:分析经腹部超声联合经阴道超声诊断多囊卵巢综合征(PCOS)的应用价值。方法:选择2017年8月—2018年8月收治的疑似多囊卵巢综合征患者(观察组)60例及同期健康体检中心的检查健康者(对照组)50例为研究对象。采用彩色多普勒超声诊断系统对研究对象进行经腹部超声检查及经阴道超声检查,并根据检查结果进行诊断。比较两组病理指标、两种检查方法超声数据指标、超声征象指标,分析两种检查方法单独诊断效果及联合诊断效果。结果:经阴道超声检查卵泡数量多于经腹部超声检查,卵巢体积(OV)小于经腹部超声检查(P<0.05);经阴道超声检查与经腹部超声检查发现的卵巢面积增加和多囊性征象的概率比较,差异无统计学意义(P>0.05),经阴道超声检查发现髓质回声异常率76.67%,高于经腹部超声检查的25.00%,差异有统计学意义(P<0.05);观察组的卵泡数量、OV、卵巢总面积(TA)及卵巢间质面积(SA)/TA均高于对照组(P<0.05);三种诊断方法准确性、敏感性比较,差异有统计学意义(P<0.05);三种诊断方法特异性比较,差异无统计学意义(P>0.05)。结论:经阴道超声检查、经腹部超声检查分别在卵泡检出及卵泡体积检出方面具有优势,两种方法联合诊断PCOS多囊性征象的效果好于两种方法单独诊断。

Objective:To analyze the application value of transabdominal ultrasound combined with transvaginal ultrasound in diagnosis of polycystic ovary syndrome(PCOS).Methods:All 60 patients suspected with PCOS who were admitted to the hospital from August 2017 to August 2018 and 50 healthy subjects in physical examination center during the same period were enrolled as study objects.They were given transabdominal ultrasound and transvaginal ultrasound examination by color Doppler ultrasound diagnostic system.The diagnosis was performed according to examination results.The pathological indexes in both groups,ultrasound data indexes of the two examination methods and ultrasound signs indexes were compared.The diagnostic effects of the two examination methods and their combination were analyzed.Results:The number of follicles examined by transvaginal ultrasound was more than that by transabdominal ultrasound,while ovary volume(OV)was lower than that by transabdominal ultrasound(P<0.05).There was no significant difference in probability of ovarian area increase or polycystic signs examined by the two methods(P>0.05).The medullary echo anomaly rate examined by transvaginal ultrasound was higher than that by transabdominal ultrasound(76.67%vs 25.00%)(P<0.05).The number of follicles,OV,total ovarian area(TA),SA/TA in suspected PCOS group were all higher than those in healthy group(P<0.05).There were significant differences in accuracy and sensitivity among the three diagnostic methods(P<0.05).There was no significant difference in specificity among the three diagnostic methods(P>0.05).Conclusion:There is speciality of transvaginal ultrasound and transabdominal ultrasound in follicular detection and follicular volume detection.Their combination diagnostic effect on PCOS polycystic signs is better than that of either of them.