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目的探讨三维及彩色多普勒超声对多囊卵巢综合征(PCOS)的辅助诊断价值。方法对中国医科大学附属盛京医院2005年2月至2007年6月收治的60例PCOS患者和60例健康育龄女性进行三维及彩色多普勒超声检查,检测卵泡数目、三维容积和血流动力学指标,并进行对比分析。结果PCOS组的卵泡数目、卵巢容积、卵巢间质容积、卵泡容积大于对照组[分别为(16.91±4.34)个、(12.56±3.96)cm3、(11.49±3.50)cm3、(1.07±0.61)cm3对(5.48±2.10)个、(4.76±1.78)cm3、(4.43±1.74)cm3、(0.32±0.21)cm3],差异均有统计学意义(P<0.01);卵巢间质内动脉阻力指数低于对照组(0.53±0.06对0.65±0.09),收缩期峰值血流速度高于对照组[(12.68±3.10)cm/s对(9.30±1.64)cm/s],差异具有统计学意义(分别P<0.01,P<0.05)。结论三维超声和彩色多普勒超声增加了鉴别PCOS的客观定量指标,对多囊卵巢综合征有较高的辅助诊断价值。
Objective To investigate the value of three-dimensional and color Doppler ultrasound in the diagnosis of polycystic ovary syndrome (PCOS). Methods Sixty patients with PCOS and 60 healthy women of childbearing age who were admitted to Shengjing Hospital of China Medical University from February 2005 to June 2007 were examined by three-dimensional and color Doppler ultrasonography to detect the number of follicles, three-dimensional volume and hemodynamics Learning indicators, and comparative analysis. Results The number of follicles, ovarian volume, ovarian interstitial volume and follicle volume in PCOS group were significantly higher than those in control group [(16.91 ± 4.34), (12.56 ± 3.96) cm3, (11.49 ± 3.50) cm3 and (1.07 ± 0.61) cm3 (5.48 ± 2.10), (4.76 ± 1.78) cm3, (4.43 ± 1.74) cm3, (0.32 ± 0.21) cm3 respectively, the difference was statistically significant (P <0.01); the ovarian interstitial artery resistance index was low In the control group (0.53 ± 0.06 vs 0.65 ± 0.09), the systolic peak blood flow velocity was higher than that of the control group [(12.68 ± 3.10) cm / s vs (9.30 ± 1.64) cm / s], respectively P <0.01, P <0.05). Conclusion Three-dimensional ultrasound and color Doppler ultrasound increased the objective quantitative indicators of differential diagnosis of PCOS, polycystic ovary syndrome has a higher diagnostic value.