多囊卵巢综合征超声表现与临床病理特点相关性

摘要

Objective To investigate the correlation between the characteristics of polycystic ovary syndrome (PCOS) manifestations by abdominal and transvaginal color Doppler ultrasonography and the diagnosis of clinical pathological type.Methods Totally 110 cases of patients with polycystic ovary syndrome in our hospital from August 2013 to February 2013 were selected as objects.The patients were examined by the abdominal color doppler and vaginal color doppler.The blood flow in the ovaries and the ovarian physical indexes were compared according to the different ultrasonography.The correlation between different ultrasonic diagnosis and the subtypes of patients with polycystic ovary syndrome were analyzed.Results The difference was statistically significant (P ＜ 0.05) for the peak blood flow (PSV) and end-stage blood flow velocity (EDV) in the ovary artery after vaginal color ultrasound and transabdominal ultrasound comparison.There was no statistical significance (P ＞ 0.05) in the pulsation index (PI) and resistance index (RI).Transvaginal colour to exceed to the artery blood flow changes reflect more clear,transvaginal colour to exceed to the patients with ovarian physical indicators reflect more accurate,has significant difference compared with abdominal colour to exceed the significance (P ＜ O.05).There was a significant difference between the diagnosis of transvaginal color ultrasound diagnosis and the diagnosis of abdominal ultrasound (P ＜ 0.05).Conclusion Transvaginal colour to exceed more accurately reflect the change of ovarian blood flow and the physical index,safe,convenient,and more suitable for patients with polycystic ovary syndrome,can understand ovarian pathological physiology change at the same time,patients can clear follicle ovulation condition,identify patients with polycystic ovary syndrome classification,is helpful to clinical treatment of personalized adjustment.%目的 探讨多囊卵巢综合征经腹部和经阴道彩超表现特征与临床病理分型诊断之间的相关性.方法 选择2013年8月～2014年2月入住笔者医院的多囊卵巢综合征患者110例,患者分别进行经腹彩色多普勒和阴道彩色多普勒检查,依据不同超声检查显示的卵巢动脉血流情况、卵巢物理指标进行对比,分析不同超声诊断与患者多囊卵巢综合征亚型分型之间相关性.结果 经阴道彩超与经腹彩超比较对卵巢动脉的收缩期峰值血流(PSV)、舒张期末期血流速度(EDV),差异有统计学意义(P＜0.05),而搏动指数(P1)、阻力指数(RI)比较差异无统计学意义(P＞0.05);经阴道彩超对动脉血流变化反映更为清晰,经阴道彩超能够对患者卵巢物理指标反映更精确,与经腹彩超比较差异有统计学意义(P＜0.05).经阴道彩超诊断分型与腹部彩超诊断分型差异有统计学意义(P＜0.05).结论 经阴道彩超具有更精确反映卵巢血流变化及物理指标,安全、方便,更适合多囊卵巢综合征患者,同时可以了解卵巢的病理生理改变,能够明确患者卵泡排卵情况,确定患者多囊卵巢综合征分型,有利于临床治疗方案的个性化调整.