超声检查；_彩色多普勒；_多囊卵巢综合征_

经阴道超声对多囊卵巢综合征的诊断价值

http://www.100md.com 《新疆医科大学学报》(新) 2006年第10期

超声检查；,彩色多普勒；,多囊卵巢综合征,,超声检查；,彩色多普勒；,多囊卵巢综合征,1资料与方法,2结果,3讨论,参考文献：

     摘要：目的：探讨彩色多普勒超声对多囊卵巢综合征(PCOS)的诊断价值。方法：对43例PCOS患者(PCOS组)和25例月经周期规则有正常排卵者(对照组)进行经阴道二维及彩色多普勒超声检查，观测其卵巢体积(OV)、卵泡数目(FN)、卵巢间质内血流形态特征及其血流动力学指标，并进行对比分析。结果：PCOS组的卵巢体积、卵泡数目大于对照组，差异有统计学意义(P<0.001)；收缩期峰值流速(PSV)高于对照组, 差异有统计学意义(P<0.01)，而阻力指数(RI)、搏动指数(PI)低于对照组, 差异有统计学意义(P<0.001)。PCOS组卵巢间质内血管显示清晰、数量丰富(100%)，其中91.9%的卵巢可见1支纵向贯穿卵巢间质的较粗血管，而对照组卵巢间质内血流呈散在点状。结论：经阴道二维及彩色多普勒超声对多囊卵巢综合征有较高的诊断价值。

    关键词：超声检查；彩色多普勒；多囊卵巢综合征

    Diagnostic value of polycystic ovary syndrome by transvaginal ultrasonography

    ZHAO Qin, LU Yongquan, SONG Tao, et al

    (Department of Ultrasounography, First Affiliated Hospital, Xinjiang Medical University, Urumqi 830054, China)

    Abstract: Objective: To evaluate the diagnostic value of color Doppler ultrasonography for polycystic ovary syndrome (PCOS). Methods: Transvaginal ultrasound examinations were performed in 43 patients with PCOS and in 25 women with regular menstrual cycles. Twodimentional ultrasound and color Doppler flow imaging (CDFI) were performed in all patients. Mean ovarian volume (OV), follicle number (FN) and ovarian stromal blood flow were measured. Results: OV, FN and peak systolic velocity (PSV) in PCOS group were significantly higher than in the control group (P<0.001). While the resistance index (RI) and pulsitive index (PI) apparently were significantly lower than in the control group(P<0.001). Vascularization of the ovarian stroma was more abundant in patients with PCOS than in control women (100%). Seventynine ovaries of total 86 ovaries in PCOS group (91.9%) showed an obvious artery penetrating the ovarian stroma. Conclusions: Transvaginal color Doppler ultrasonography assessment of ovary combined with twodimentional ultrasounography is a valuable tool for the diagnosis of PCOS. ......

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