B超在多囊卵巢综合征诊断中的应用研究

Value of B-ultrasound in the diagnosis of polycystic ovary syndrome

目的 探讨测量卵巢间质等变化的B超参数对多囊卵巢综合征的诊断价值。方法 2001年2月至2002年8月对38例LH/FSH>2的多囊卵巢综合征(PCOS)患者及30例正常育龄妇女志愿者进行卵巢B超观测,参数为卵巢总体积(OV)、卵巢切面总面积(TA)和间质面积(SA)、SA/TA以及间质回声变化,并分析与性激素的相关性。结果 PCOS组OV、SA与SA/TA较对照组明显增高,SA、SA/TA尤其是后者与LH、LH/FSH明显相关,并与雄激素有一定相关性。结论 SA、TA和SA/TA可考虑作为PCOSB超方面的诊断指标。阴道B超(TVUS)和腹部B超(TAUS)联合应用能提高诊断准确性,减少漏诊率。

Objective To investigate the value of ovarian stromal changes by B-ultrasound in diagnosis of polycystic o-vary syndrome(PCOS).Methods Ovarian volume(OV),stromal area(SA) ,total area(TA),and stromal area/total area ratio of 38 patients with PCOS(LH/FSH>2) and 30 volunteer women controls were measured by B-ultrasound, and the relationship between these parameters and sexual hormone Ievel was analyzed during February 2001 to August 2002. Re-suits OV,SA and SA/TA ratio in PCOS group were significantly higher than those in control group, SA,SA/TA ratio, especially the latter, were significantly related to LH, LH/FSH ratio, and correlated with androgen Ievel. Conclusion SA,TA and SA/TA ratio might be considered as a B-ultrasound diagnostic parameter in PCDS. TAUS( transabdominal ultrasound) combined with TVUS(transvaginal ultrasound) can improve the precision of the diagnosis of PCOS.