经腹部超声和经阴道超声诊断多囊卵巢综合征的价值比较

发布时间：2018-10-13 08:38

【摘要】：目的比较经腹部超声和经阴道超声诊断多囊卵巢综合征的临床价值。方法将118例多囊卵巢综合征患者采用随机数字表法分为观察组和对照组各59例。观察组采用经阴道超声诊断,对照组采用经腹部超声诊断,比较2组诊断结果。结果 2组患者均可见两侧卵巢均匀性增大现象,外形均呈圆形或椭圆形,且图像边界清晰,包膜增厚,中间髓质成分及回声信号均增加。2组患者皮质内均可见不低于10个的小囊性结构,其中对照组超声特征为形态规则且无回声信号,而观察组则可见车轮状信号。观察组的卵巢面积增加、多囊性征象、髓质回声异常等的检出率均高于对照组(P0.05),2组患者的卵巢体积比较差异无统计学意义(P0.05)。观察组卵泡数量检出情况明显优于对照组(P0.05)。结论对于多囊卵巢综合征患者行经阴道超声诊断的影像学特征检出率较高,临床价值显著,值得推广应用。
[Abstract]:Objective to compare the clinical value of transabdominal ultrasound and transvaginal ultrasound in the diagnosis of polycystic ovary syndrome. Methods 118 patients with polycystic ovary syndrome were randomly divided into observation group (n = 59) and control group (n = 59). The observation group was diagnosed by transvaginal ultrasound and the control group by transabdominal ultrasound. Results in both groups, the ovaries of both sides were evenly enlarged, the shape was round or oval, the image boundary was clear and the capsule thickened. No less than 10 small cystic structures were found in the cortex of the two groups. The ultrasonic features of the control group were regular and without echo signal, while the wheel signal could be seen in the observation group. The detection rate of ovarian area, polycystic signs and medullary echo abnormality in the observation group was higher than that in the control group (P0.05). There was no significant difference in ovarian volume between the two groups (P0.05). The number of follicles in the observation group was significantly better than that in the control group (P0.05). Conclusion the detection rate of transvaginal sonography in patients with polycystic ovary syndrome (PCOS) is high and the clinical value is significant. It is worth popularizing and applying.
【作者单位】：河南省洛阳市西工区妇幼保健中心;
【分类号】：R445.1;R711.75

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