阴道超声单侧卵巢检查对PCOS诊断准确性的影响

发布时间：2018-06-04 17:09

本文选题：多囊卵巢综合征 + 窦卵泡计数　；参考：《实用妇产科杂志》2015年11期

【摘要】：目的:探讨阴道超声仅单侧卵巢检查对多囊卵巢综合征(PCOS)诊断准确性的影响。方法:选择2013年6月至2014年10月阴道超声诊断PCOS患者79例(PCOS组)和同期43例正常对照病例(对照组),计算一致性相关系数(CCC),并对卵巢的窦卵泡计数(AFC)和卵巢体积(OV)进行Bland-Altman法分析。结果:Bland-Altman分析显示,PCOS组左右侧卵巢的AFC和OV平均差分别为0.23(95%CI,-0.65~0.97)和1.68 ml(95%CI,0.37~2.52),对照组分别为0.38(95%CI,-0.17~1.08)和0.63 ml(95%CI,-0.42~1.55)。PCOS组AFC和OV一致性界限范围分别为-14.0~14.4和-15.7~19.1,对照组分别为-7.4~8.2和-8.0~9.2。PCOS组和对照组的左右两侧卵巢AFC和OV的CCC均0.9。22.8%患者仅单侧卵巢出现多囊卵巢形态(PCOM),同时约8.9%PCOS患者仅在单侧卵巢满足PCOM等两项诊断指标。结论:PCOS患者左右侧卵巢超声特征差异较大,阴道超声仅单侧卵巢检查可能会漏诊部分PCOS患者,建议尽可能采用双侧卵巢超声诊断以提高PCOS诊断的准确性。
[Abstract]:Objective: to investigate the effect of single ovary examination on the diagnostic accuracy of polycystic ovary syndrome (PCOS). Methods: from June 2013 to October 2014, 79 patients with PCOS were diagnosed by transvaginal ultrasound and 43 normal controls (control group). Bland-Altman method was used. Results Bland-Altman analysis showed that the average difference of AFC and OV between the left and right ovaries in the control group was 0.2395CI-0.650.97) and 1.68ml / 95 CIQ 0.372.52%, respectively, compared with 0.3895CI-0.171,1.08) and 0.63 ml 95CI-0.421.55.PCOS in the control group (-14.014.4 and -15.719.1, respectively), and in the control group (-7.4 卤8.2 and -8.0t2.2.PCOS, respectively). The conformance limits of AFC and OV were -14.014.4 and -15.719.1in the control group and in the control group, respectively. The difference was -14.014.4 and -15.719.1in the control group and in the control group, respectively, and in the control group, the difference was -14.014.4 and -15.719.1respectively. The CCC of AFC and OV of the left and right ovaries were 0.9.22. 8% of the patients only had polycystic ovarian morphology in one side of the ovary, and about the 8.9%PCOS patients only satisfied the two diagnostic indexes of PCOM in the unilateral ovary. Conclusion there is a great difference between the left and right ovarian ultrasound features in the patients with PCOS. The diagnosis of partial PCOS may be missed by vagina ultrasound only in one side. It is suggested that bilateral ovarian ultrasound should be used as far as possible to improve the accuracy of PCOS diagnosis.
【作者单位】：四川省医学科学院四川省人民医院;
【分类号】：R711.75

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