经阴道三维容积超声诊断育龄期妇女多囊卵巢综合征的研究

Study on the Diagnosis of Polycystic Ovary Syndrome in Women of Childbearing Age by Transvaginal Three-Dimensional Volume Ultrasound

目的分析经阴道三维容积超声诊断育龄期妇女多囊卵巢综合征(polycystic ovary syndrome,PCOS)的应用价值。方法选取2021年6月—2022年12月中山市博爱医院收治的40例PCOS患者作为观察组,选取同期于中山市博爱医院接受体检的40例健康女性作为对照组。2组受检者均行阴道三维容积超声,比较2组的卵泡数量、子宫内膜厚度、卵巢体积。分析各参数对PCOS的诊断价值。结果经三维容积超声分析,观察组子宫内膜厚度、卵巢体积、卵泡容积和平均卵泡数目与对照组相比,差异均有统计学意义(P<0.05)。绘制受试者工作特征曲线图(receiver operating characteristic curve,ROC)呈曲线结果,卵巢体积、卵泡数目、子宫内膜厚度PCOS曲线下面积(area under curve,AUC)分别为0.819、0.855、0.812,诊断价值较高。结论经阴道三维容积超声诊断对育龄期妇女PCOS进行准确诊断,临床价值较高,同时在治疗效果判定和预后评估中也可发挥重要作用。

Objective To analyze the application value of transvaginal three-dimensional volume ultrasound in the diagnosis of polycystic ovary syndrome(PCOS)in women of childbearing age.Methods A total of 40 patients with PCOS admitted to Boai Hospital of Zhongshan from June 2021 to December 2022 were selected as the observation group,and 40 healthy women who underwent physical examination in Boai Hospital of Zhongshan during the same period were selected as the control group.Three dimensional volume ultrasound was performed in both groups to analyze and compare the number of follicles,endometrial thickness and ovarian volume.The diagnostic value of each parameter to PCOS was analyzed.Results By three-dimensional volume ultrasound analysis,endometrial thickness,ovarian volume and follicle volume average number of follicles in the observation group were significantly different from those in the control group(P<0.05).Receiver operating characteristic curve(ROC)was drawn to present the curve results.The area under the PCOS curve(AUC)for ovarian volume,number of follicles,and endometrial thickness were 0.819,0.855,and 0.812,respectively,indicating high diagnostic value.Conclusion Transvaginal three-dimensional volume ultrasound diagnosis has important diagnostic value in the accurate diagnosis of PCOS in women of childbearing age,and also has important application value in the evaluation of treatment effect and prognosis.