| 杨婷，刘娜，王淑芬.经阴道超声检查结合血激素检测诊断多囊卵巢综合征.[J].中南医学科学杂志.,2012,40(4):397-399. |
| 经阴道超声检查结合血激素检测诊断多囊卵巢综合征 |
| Transvaginal Sonography Combined With Hormonal Profiles in Diagnosis of Polycystic Ovarian Syndrome |
| 投稿时间：2012-03-21 |
| DOI： |
| 中文关键词: 阴道超声 多囊卵巢综合征 卵巢间质面积/总面积 卵巢间质血流阻力 睾酮 |
| 英文关键词:transvaginal sonography polycystic ovary syndrome the ratio between stromal and total area of median ovarian section blood resistance index testosterone |
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| 中文摘要: |
| 目的评价经阴道超声(TVS)检查卵巢形态学特征、卵巢间质内血流动力学结合血激素水平在多囊卵巢综合征(PCOS)诊断中的价值。方法采用经阴道超声对35例PCOS患者的卵巢进行形态学和卵巢间质内血流动力学的观察和测量,同时检测血液中卵泡刺激素（FSH）、促黄体生成素（LH）、雌二醇（E2）及睾酮（TESTO）的水平,设立正常对照组30例进行对比分析。结果PCOS患者卵巢体积（OV）、卵泡数（FN）、卵巢间质面积（SA）、卵巢间质面积/总面积（SA/ TA）较正常对照组明显增高（P<0.05,P<0.01）;其中SA/TA的敏感性和特异性最高;PCOS患者卵巢间质内血流阻力明显减低，同时血液中睾酮激素水平明显高于正常组（P<0.01）。结论通过阴道超声检测卵巢形态学特征、卵巢间质内血流阻力变化并结合血液中睾酮激素水平，有助于提高经阴道超声诊断多囊卵巢综合征的敏感性及特异性，并可作为多囊卵巢综合征治疗随访的重要评价指标。 |
| 英文摘要: |
| ObjectiveTo evaluate the value of transvaginal sonography in the diagnosis of Ovarian morphology，ovarian stromal blood haemodynamics and blood hormone levels in patients with polycystic ovary syndrome (PCOS).Methods35 patients and 30 healthy persons were examined by transvaginal sonography to analyze ovarian morphology and stromal blood haemodynamics，and at the same time me detected the level of blood follicle-stimulating hormone (FSH)，luteinizing hormone (LH)，estradiol (E2)，progesterone (PROG)and testosterone (T).ResultsOV，FN，SA，SA/TA and blood testosterone level in patients with PCOS were significantly higher than in control group，while ovarian stromal blood flow resistance index significantly decreased.And the sensitivity and specificity of SA/TA is the highest among them.ConclusionOvarian morphology and stromal blood flow resistance index examined by transvaginal sonography，combined with the related blood testosterone of patients with PCOS，can help improve the diagnosis of polycystic ovarian syndrome，and can be used as treatment and follow-up evaluation of polycystic ovarian syndrome. |
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