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目的:分析经腹部和阴道彩色多普勒超声对青春期多囊卵巢综合征(PCOS)的临床诊断效果。方法:选择我院2009年2月-2014年12月48例已婚PCOS患者,所有患者均先后接受经阴道彩色多普勒超声检查(TVS)及经腹彩色多普勒超声检查(TAS),比较两种方法卵巢显像效果、卵泡数目及大小、诊断符合率、声像图特征。结果:TVS子宫内膜显示率、双侧卵巢显示率及双侧卵泡显示率分别为100%、95.83%、95.83%,均显著高于TAS 50.00%、27.08%、18.75%%(P<0.05)。TVS检查平均卵泡数目为(15.35±3.15)个,显著多于TAS(6.42±1.42)个;TVS检查平均卵泡直径为(6.31±1.42)mm,明显小于TAS(7.15±1.42)mm(P<0.05)。TVS对PCOS的诊断符合率为93.75,显著高于TAS 72.91%(P<0.05)。结论:应用TVS诊断PCOS具有操作简便、无创、诊断准确率高等优点,可为PCOS的临床诊断提供可靠依据。
Objective: To analyze the clinical diagnosis of adolescent polycystic ovary syndrome (PCOS) by transabdominal and vaginal color Doppler sonography. Methods: Forty-eight married PCOS patients were selected from our hospital from February 2009 to December 2014. All patients received transvaginal color Doppler ultrasonography (TVS) and transabdominal color Doppler ultrasonography (TAS) Comparing the two methods ovarian imaging results, the number and size of follicles, diagnosis coincidence rate, sonographic features. Results: The rate of TVS endometrium, the rate of bilateral ovary and the rate of bilateral follicles were 100%, 95.83% and 95.83% respectively, which were significantly higher than those of TAS 50.00%, 27.08% and 18.75% (P <0.05) . The average number of follicles detected by TVS was (15.35 ± 3.15), significantly higher than that of TAS (6.42 ± 1.42). The mean diameter of follicles detected by TVS was (6.31 ± 1.42) mm, significantly lower than that of TAS (7.15 ± 1.42) mm ). The diagnostic coincidence rate of TVS to PCOS was 93.75, which was significantly higher than 72.91% of TAS (P <0.05). Conclusion: The diagnosis of PCOS with TVS has the advantages of simple operation, non-invasive, high diagnostic accuracy, which can provide a reliable basis for the clinical diagnosis of PCOS.