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腔内超声对多囊卵巢综合征并发子宫内膜增生症的诊断价值 被引量:2

Intracavitary ultrasound in patients with polycystic ovary syndrome complicated by endometrial hyperplasia
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摘要 目的探讨腔内超声对多囊卵巢综合征(polycystic ovarian syndrome,PCOS)并发子宫内膜增生(endometrial hyperplasia,EH)的诊断价值。方法对89例PCOS患者根据是否合并EH进行分组,包括合并EH组(n=13)和不合并EH组(n=76)。超声检查内容,观察子宫内膜厚度、卵巢血流参数以及子宫动脉血流参数变化。结果 PCOS并发EH组的子宫内膜厚度明显大于对照组,差异有统计学意义(P<0.05)。子宫动脉搏动指数和阻力指数小于未并发EH组,差异有统计学意义(P<0.05)。PCOS并发EH组和未并发EH组的卵巢阻力指数(RI)差异无统计学意义(P>0.05)。结果显示PCOS并发EH组患者的子宫内膜增厚,卵巢血流丰富,子宫动脉阻力指数明显减低。结论腔内超声诊断对于PCOS并发EH诊断具有重要的临床意义。 Objective To evaluate ultrasonic diagnosis in the endometrial thickness and hemodynamic changes of uterine ovar- ian cavity in polycystic ovary syndrome (PCOS) complicated by endometrial hyperplasia (EH). Methods Eighty -nine patients with PCOS were grouped into 13 cases complicated by endometrial hyperplasia ( group 1 ) and 76 cases without EH ( group 2). For each pa- tient, the thickness of endometrium, changes in ovarian perfusion, and uterine artery blood flow parameters were obtained by ultrasonography. Results Endometrium in PCOS with EH group was significantly thicker than that in control group. The ovarian peak sys- tolic blood flow velocity (PSV) in PCOS with EH group was faster than that in control group (P 〈 0.05 ). The difference in the ovarian resistance index (RI) between the PCOS with EH group and the control group was not statistically significant. It was shown that endometrial thickness increased, ovarian perfusion was rich, and blood flow resistance was low in PCOS with EH group. Conclusions Ultrasonographical examination is of clinical significance in the diagnosis of PCOS patients with EH.
作者 鲁琰 吕裕霞
出处 《武警医学》 CAS 2011年第9期767-769,共3页 Medical Journal of the Chinese People's Armed Police Force
关键词 多囊卵巢综合征 子宫内膜增生 腔内超声 polycystic ovary syndrome endometrial hyperplasia intracavitary ultrasound
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