超声辅助检查在女童特发性真、假性性早熟鉴别诊断中的作用分析

摘要

Objectives:To investigate the effect of ultrasonic auxiliary examination on the differential diagnosis of central precocious puberty and pseudo precocious puberty of girls.Methods:77 girls with sexual precocity were divided into two groups,44 cases in the central precocious puberty group,while 31 cases in the pseudo precocious puberty group. Another 30 healthy girls were selected as the control group.The uterine and ovarian ultrasound testing results of the three groups were recorded and compared.Results:The transverse diameters,vertical diameters and volumes of the uterine and the largest follicle diameter in the central precocious puberty group were significantly higher than those in the pseudo precocious puberty group and the control group (P <0.05).While those in the pseudo precocious puberty group had no significant differences with those in the control group (P >0.05).The transverse diameters,vertical diameters,antero-posterior diameters and volumes of the uterus in the central precocious puberty group were significantly higher than those in the control group (P <0.05).Conclusion:Ultrasonic auxiliary examination plays an important role in the differential diagnosis of central precocious puberty and pseudo precocious puberty of girls.%目的：探讨超声辅助检查在女童特发性真、假性性早熟鉴别诊断中的作用。方法：将75例性早熟女童按照真、假性性早熟分为真性组（n ＝44例）和假性组（n ＝31例），并选取健康女童30例作为对照组，比较三组女童的子宫和卵巢超声检查结果。结果：真性组卵巢横径、卵巢纵径、卵巢容积、最大卵泡直径均高于假性组和对照组，差异有统计学意义（P ＜0．05），假性组卵巢横径、卵巢纵径、卵巢容积、最大卵泡直径与对照组比较差异无统计学意义（P ＞0．05）；真性组子宫纵径、子宫横径、子宫前后径、子宫容积均高于对照组，差异有统计学意义（P ＜0.05）。结论：超声辅助检查在女童特发性真性、假性性早熟鉴别诊断中具有重要价值。