摘要
目的探讨阴道超声与血清生殖激素检查诊断多囊卵巢综合征合并不孕症的临床价值。方法 50例多囊卵巢综合征合并不孕症患者作为观察组,进行血清生殖激素检测;46例的正常女性作为对照组。两组均行阴道超声检查,比较两组的阴道超声表现及血流动力学参数。结果观察组患者中,阴道超声的诊断符合率显著高于高雄激素血症、LH/FSH>3的诊断符合率(P<0.05)。阴道超声检查显示,观察组的卵巢体积、髓质面积、卵巢总面积、髓质面积/卵巢总面积均显著大于对照组,EDV、PSV显著高于对照组,RI、PI显著低于对照组(P<0.05)。结论在多囊卵巢综合征合并不孕症的诊断中,与血清生殖激素检查相比,阴道超声检查的准确性更高,且有利于了解患者的卵巢情况,操作简单方便。
Objective To explore the clinical value of transvaginal ultrasound and serum reproductive hormones test in the diagnosis of polycystic ovary syndrome（PCOS） associated with infertility. Methods 50 cases of patients with PCOS associated with infertility were selected as observation group, and all cases received serum reproductive hormones test. 46 cases of normal women were selected as control group. Both groups received transvaginal ultrasound examination, and the vaginal ultrasound performance and hemodynamic parameters were compared between two groups. Results Among patients in the observation group, the diagnostic compliance rate of transvaginal ultrasound was significantly higher than that of hyperandrogenism and LH/FSH 3（both P〈0.05）. Transvaginal ultrasound examination showed that the ovarian volume, medulla area, total ovarian area, ratio of medulla area to total ovary area, EDV and PSV of the observation group were significantly higher than those of the control group, and the RI and PI were significantly lower than those of the control group（P〈0.05）. Conclusions Transvaginal ultrasound has higher accuracy than serum reproductive hormones test in the diagnosis of polycystic ovary syndrome associated with infertility, which can help to understand the patient＇s ovarian conditions and is easy to operate.
作者
刘皓
LIU Hao(Reproductive Center of Obstetrics and Gynecology Department,Hebi People ＇s Hospital,Hebi 458030,Chin)
出处
《临床医学工程》
2018年第8期1011-1012,共2页
Clinical Medicine & Engineering
关键词
多囊卵巢综合征
不孕症
阴道超声
生殖激素
Polycystic ovary syndrome （PCOS）
Infertility
Transvaginal ultrasound
Reproductive hormones
