摘要
目的:研究多囊卵巢综合征经阴道三维容积超声检查的诊断价值。方法:以2019年1—12月郑州市妇幼保健院临床怀疑为多囊卵巢综合征的160例女性作为本次研究对象,均接受经阴道三维容积超声检查,测定相关指标,参照病理检查确诊结果,分析对多囊卵巢综合征的诊断价值。结果:160例受检者经病理检查证实103例为多囊卵巢综合征。以病理结果为金标准,经阴道三维容积超声诊断多囊卵巢综合征的灵敏度为79.61%,特异度为87.72%,准确度为82.50%。多囊卵巢综合征组卵泡数目多于非多囊卵巢综合征组,差异有统计学意义(t=46.086,P<0.05),卵泡体积、卵巢体积、血流指数(FI)、血管化指数(Ⅵ)、血管化血流指数(VFI)高于非多囊卵巢综合征组,差异有统计学意义(t=19.155,22.340,32.335,58.355,27.257,P<0.05),子宫内膜体积小于非多囊卵巢综合征组,搏动指数(PI)、阻力指数(RI)低于非多囊卵巢综合征组,差异有统计学意义(t=18.709,9.603,P<0.05)。结论:经阴道三维容积超声检查,多囊卵巢综合征特征显示明显,各超声相关指标测定结果相较非多囊卵巢综合征差异显著,诊断多囊卵巢综合征可保证较高的敏感度、特异度、准确度,应用价值突出。
Objective: To study the diagnostic value of transvaginal three-dimensional volume ultrasound in polycystic ovary syndrome. Methods: A total of 160 women who were clinically suspected of polycystic ovary syndrome in the hospital from January2019 to December 2019 were selected as the research objects. All patients underwent transvaginal three-dimensional volumetric ultrasonography and the relevant indicators were determined. The diagnostic value of polycystic ovary syndrome was analyzed with reference to the diagnosis results of pathological examination. Results: 103 of the 160 subjects were confirmed to be polycystic ovary syndrome by pathological examination.Pathological results were used as the standard. The sensitivity of transvaginal three-dimensional volume ultrasound in the diagnosis of polycystic ovary syndrome was 79.61%, the specificity was 87.72%, and the accuracy was 82.50%. The number of follicles in the polycystic ovary syndrome group was more than that in the non-polycystic ovary syndrome group, and the difference was statistically significant(t=46.086, P<0.05). The follicle volume, ovarian volume, FI, Ⅵ and VFI were significantly higher than those in the non-polycystic ovary syndrome group(t=19.155, 22.340, 32.335, 58.355, 27.257,P<0.05). The endometrial volume was smaller than that of the non-polycystic ovary syndrome group, and PI and RI were lower than those of the non-polycystic ovary syndrome group, and the difference was statistically significant(t=18.709, 9.603, P<0.05).Conclusion: Transvaginal three-dimensional volume ultrasonography showed obvious features of polycystic ovary syndrome, and the measurement results of various ultrasound-related indicators were significantly different from those of non-polycystic ovary syndrome. Diagnosis of polycystic ovary syndrome can ensure high sensitivity, specificity and accuracy, and has outstanding application value.
作者
赵丹
ZHAO Dan(Department of Ultrasound Diagnosis,Zhengzhou Maternal and Child Health Hospital,Zhengzhou,Henan,450000,China)
出处
《黑龙江医学》
2022年第17期2091-2093,共3页
Heilongjiang Medical Journal
关键词
多囊卵巢综合征
经阴道
三维容积超声
诊断
价值
Polycystic ovarian syndrome
Transvaginal
Three-dimensional volume ultrasound
Diagnosis
Value
