阴道彩色多普勒超声在多囊卵巢综合征诊断中的应用(1)
【摘 要】 目的：对阴道彩色多普勒超声在多囊卵巢综合征诊断中的应用价值进行分析探讨。方法：以本院2018年3月至2019年3月收治的82例疑似多囊卵巢综合征患者作为观察组，以同期在本院行健康体检的90例志愿者作为对照组，对所有研究对象行阴道彩色多普勒超声检查，对比两组研究对象的检查指标。结果：观察组卵巢面积、卵巢体积、卵泡个数及髓质面积均高于对照组(P<0.05)。观察组未见明显血流信号及间质星点状血流信号所占比例显著低于对照组，间质粗条状血流信号所占比例显著高于对照组(P<0.05)。观察组EDV及PSV显著高于对照组，RI显著低于对照组(P<0.05)。结论：阴道彩色多普勒超声能够准确反映多囊卵巢综合征的影像特征，可以为病情的诊断及治疗提供可靠依据。
【关键词】 多囊卵巢综合征;彩色多普勒超声;影像学特征
[Abstract] Objective：To analyze and discuss the application value of vaginal color Doppler ultrasound in the diagnosis of polycystic ovary syndrome. Methods： A total of 82 patients suspected of polycystic ovary syndrome admitted to our hospital from March 2018 to March 2019 were taken as the observation group， and 90 volunteers who underwent physical examination in our hospital during the same period were taken as the control group. All subjects were examined by vaginal color Doppler ultrasonography， and the examination indexes of the two groups were compared. Results： The ovarian area， ovarian volume， number of follicles and medulla area in the observation group were all higher than those in the control group (P<0.05).The proportion of no obvious blood flow signal and interstitial stellate blood flow signal in the observation group was significantly lower than that in the control group， and the proportion of interstitial coarse striated blood flow signal was significantly higher than that in the control group (P<0.05).EDV and PSV of the observation group were significantly higher than those of the control group， while RI was significantly lower than that of the control group (P<0.05).Conclusion： Vaginal color Doppler ultrasound can accurately reflect the image characteristics of Polycystic ovary syndrome， and can provide reliable basis for the diagnosis and treatment of the disease.
, http://www.100md.com
[Key words]Polycystic ovary syndrome; Color Doppler ultrasound; Imaging features
多囊卵巢綜合征为育龄女性常见疾病，临床表现主要有不孕、不排卵、月经紊乱等[1]。除此之外，多囊卵巢综合征多合并胰岛素血症、高雄激素血症等，可引发黄体激素与促卵泡激素比值升高，严重威胁患者的健康与生活质量[2]。因此，对于该病要做到早诊断与早治疗。临床上目前对于该病常用的检测方法有多普勒超声诊断，但是如果行腹部超声诊断，会受到腹部脂肪影响，无法清晰反映出卵泡的发育情况，而经阴道检查可以清晰显示出患者血流情况，为临床诊断提供依据。为进一步对阴道彩色多普勒超声在多囊卵巢综合征诊断中的应用价值进行分析探讨，笔者对本院2018年3月至2019年3月收治的82例疑似多囊卵巢综合征患者的临床资料进行回顾性分析，现报道如下。
1 资料与方法
, 百拇医药 1.1 一般资料
以本院2018年3月至2019年3月收治的82例疑似多囊卵巢综合征患者作为观察组，年龄为21～47岁，平均(29.04±2.71)岁;不孕时间7个月～5.5年，平均(2.03±0.26)年。以同期在本院行健康体检的90例志愿者作为对照组，均为女性，年龄为20～49岁，平均(28.35±2.66)岁。两组研究对象基本资料无明显差异(P>0.05)。
纳入标准：1)经医学伦理委员会批准;2)无阴道出血等症状;3)入组前3个月未使用激素类药物;4)了解该研究的目的及意义，并自愿参加。
排除标准：1)合并甲状腺疾病、糖尿病、高血压等疾病;2)体内带有金属物质;3)合并严重心、肝、肾功能不全;4)依从性较差者。, http://www.100md.com(万雪梅)
【关键词】 多囊卵巢综合征;彩色多普勒超声;影像学特征
[Abstract] Objective：To analyze and discuss the application value of vaginal color Doppler ultrasound in the diagnosis of polycystic ovary syndrome. Methods： A total of 82 patients suspected of polycystic ovary syndrome admitted to our hospital from March 2018 to March 2019 were taken as the observation group， and 90 volunteers who underwent physical examination in our hospital during the same period were taken as the control group. All subjects were examined by vaginal color Doppler ultrasonography， and the examination indexes of the two groups were compared. Results： The ovarian area， ovarian volume， number of follicles and medulla area in the observation group were all higher than those in the control group (P<0.05).The proportion of no obvious blood flow signal and interstitial stellate blood flow signal in the observation group was significantly lower than that in the control group， and the proportion of interstitial coarse striated blood flow signal was significantly higher than that in the control group (P<0.05).EDV and PSV of the observation group were significantly higher than those of the control group， while RI was significantly lower than that of the control group (P<0.05).Conclusion： Vaginal color Doppler ultrasound can accurately reflect the image characteristics of Polycystic ovary syndrome， and can provide reliable basis for the diagnosis and treatment of the disease.
, http://www.100md.com
[Key words]Polycystic ovary syndrome; Color Doppler ultrasound; Imaging features
多囊卵巢綜合征为育龄女性常见疾病，临床表现主要有不孕、不排卵、月经紊乱等[1]。除此之外，多囊卵巢综合征多合并胰岛素血症、高雄激素血症等，可引发黄体激素与促卵泡激素比值升高，严重威胁患者的健康与生活质量[2]。因此，对于该病要做到早诊断与早治疗。临床上目前对于该病常用的检测方法有多普勒超声诊断，但是如果行腹部超声诊断，会受到腹部脂肪影响，无法清晰反映出卵泡的发育情况，而经阴道检查可以清晰显示出患者血流情况，为临床诊断提供依据。为进一步对阴道彩色多普勒超声在多囊卵巢综合征诊断中的应用价值进行分析探讨，笔者对本院2018年3月至2019年3月收治的82例疑似多囊卵巢综合征患者的临床资料进行回顾性分析，现报道如下。
1 资料与方法
, 百拇医药 1.1 一般资料
以本院2018年3月至2019年3月收治的82例疑似多囊卵巢综合征患者作为观察组，年龄为21～47岁，平均(29.04±2.71)岁;不孕时间7个月～5.5年，平均(2.03±0.26)年。以同期在本院行健康体检的90例志愿者作为对照组，均为女性，年龄为20～49岁，平均(28.35±2.66)岁。两组研究对象基本资料无明显差异(P>0.05)。
纳入标准：1)经医学伦理委员会批准;2)无阴道出血等症状;3)入组前3个月未使用激素类药物;4)了解该研究的目的及意义，并自愿参加。
排除标准：1)合并甲状腺疾病、糖尿病、高血压等疾病;2)体内带有金属物质;3)合并严重心、肝、肾功能不全;4)依从性较差者。, http://www.100md.com(万雪梅)