育齡期多囊卵巢綜合征患者的卵巢超聲影像學特征研究

劉志敏

【摘要】 目的：探究育齡期多囊卵巢綜合征（PCOS）患者的卵巢超聲影像學特征。方法：將筆者所在醫院2017年2月-2019年2月收治的50例育齡期PCOS患者作為觀察組，另選取50例筆者所在醫院同期收治的單純卵巢多囊性改變患者為對照組。兩組均進行陰道超聲檢查，并采用化學發光酶聯免疫法測定各項激素水平。結果：觀察組黃體生成素、卵泡刺激素、血清睪酮、垂體泌乳素、雌二醇水平均顯著高于對照組，差異有統計學意義（P<0.05）。觀察組收縮期峰值血流速度顯著高于對照組，差異有統計學意義（P<0.05）。觀察組血流阻力指數顯著低于對照組，差異有統計學意義（P<0.05）。結論：將卵巢超聲檢查應用于POCS患者，能直觀、準確地顯示POCS患者的卵巢特征，有效測出卵巢血流圖像，為POCS的臨床診治提供可靠參考，此方法值得應用與推廣。

【關鍵詞】 超聲 育齡期 多囊卵巢綜合征 影像學特征

doi：10.14033/j.cnki.cfmr.2020.13.033 文獻標識碼 B 文章編號 1674-6805（2020）13-00-02

Study on the Characteristics of Ovarian Ultrasound Imaging in Childbearing Age Patients with Polycystic Ovarian Syndrome/LIU Zhimin. //Chinese and Foreign Medical Research， 2020， 18（13）： -82

[Abstract] Objective： To explore the characteristics of ovarian ultrasound imaging in childbearing age patients with polycystic ovarian syndrome （PCOS）. Method： A total of 50 cases of PCOS patients of childbearing age admitted in our hospital from February 2017 to February 2019 were taken as the observation group， and 50 patients with simple polycystic ovarian changes admitted in our hospital at the same time were selected as the control group. Vaginal ultrasound examination was performed in both groups， and hormone levels were determined by chemiluminescence enzyme-linked immunoassay. Result： Luteinizing hormone， follicle-stimulating hormone， serum testosterone， pituitary prolactin and estradiol levels in the observation group were significantly higher than those in the control group， the differences were statistically significant （P<0.05）. The peak systolic blood flow velocity of the observation group was significantly higher than that of the control group， and the difference was statistically significant （P<0.05）. The blood resistance index of the observation group was significantly lower than that of the control group， and the difference was statistically significant （P<0.05）. Conclusion： The application of ovarian ultrasound examination to POCS patients can visually and accurately display the ovarian characteristics of POCS patients， effectively measure the ovarian blood flow image， and provide a reliable reference for the clinical diagnosis and treatment of POCS. This method is worthy of application and promotion.

[Key words] Ultrasound Childbearing age Polycystic ovarian syndrome Imaging characteristics

First-authors address： Huidong Peoples Hospital， Huidong 516300， China

作為臨床常見的一種好發于育齡期婦女的內分泌紊亂疾病，多囊卵巢綜合征（PCOS）主要由系統性疾病及各種誘發因素引起，好發于青春期少女及育齡婦女，臨床癥狀主要表現為持續性無排卵、肥胖、多體毛、月經稀少或閉經，嚴重者會導致子宮內膜的過度增生，導致不孕，增加子宮內膜癌的風險[1-2]。由于該病不具備典型的特異性癥狀，因而臨床還未制定出統一的診斷標準。近年來，隨著超聲尤其是陰道超聲檢查在臨床上的廣泛應用，利用超聲觀察卵巢血流動力學的改變在PCOS的診斷方面已發揮了越來越重要的作用[3-4]。本研究對筆者所在醫院收治的50例育齡期PCOS患者及50例單純卵巢多囊性改變患者采用陰道彩色多普勒超聲檢查，現報道如下。