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目的探讨经阴道超声对多囊卵巢综合征(PCOS)的诊断价值。方法回顾分析我院两年来52例PCOS患者的卵巢超声表现,检测患者卵巢间质血流及彩色多普勒能量图(CDE)表现,并与40例正常妇女的卵巢相对照。结果PCOS患者卵巢体积增大,呈多囊样改变,卵巢间质回声增强,血流较对照组丰富,卵巢间质动脉血流阻力指数降低,血管分布面积(CDE信号面积)增加,与对照组比较,差异具有统计学意义。结论经阴道超声对PCOS的诊断有较好的临床应用价值。
Objective To investigate the value of transvaginal ultrasound in the diagnosis of polycystic ovary syndrome (PCOS). Methods The ovarian ultrasound findings of 52 PCOS patients in our hospital over the past two years were retrospectively analyzed. The ovarian mesenchymal blood flow and color Doppler flow imaging (CDE) were measured and compared with those of 40 normal women. Results The ovarian volume of patients with PCOS increased and presented polycystic changes. The ovarian interstitial echogenicity was enhanced. The blood flow was more abundant in the control group than in the control group. The resistance index of ovarian interstitial artery was decreased and the area of blood vessel distribution (CDE signal area) Comparison, the difference was statistically significant. Conclusion Transvaginal ultrasound has a good clinical value in the diagnosis of PCOS.