关于超声对多囊卵巢的诊断
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摘要
目的:研究经阴道彩色多普勒超声对多囊卵巢患者诊断的应用价值,分析经阴道彩色多普勒超声诊断多囊卵巢的准确性。方法:选择我院多囊卵巢患者89例,另选取89例单纯不孕患者作为对照组,对两组患者均进行经阴道彩色多普勒超声检查和腹部彩色多普勒超声检查,将实验组经阴道检查结果作为A组,实验组组腹部检查结果作为B组,并根据检查结果进行诊断。结果:实验组卵巢髓质面积、卵巢面积、卵巢体积均高于对照组,实验组诊断准确率96.62%,比对比组高23.59%,两组最大分支血流速度、舒张末期血流速度、阻力指数差异显著(P <0.05)。结论:多囊卵巢属于临床高发病,在患者青春期即可见较高发病率,患者在发病后严重时造成患者不孕,影响患者的生活与家庭幸福,多囊卵巢除存在较为明显的血检结果差异外,通过影像学检查效果相对明显,经阴道彩色多普勒超声诊断能够有效观察患者是否存在卵巢结构异常,是诊断多囊卵巢的主要手段,值得推临床推广。
Objective To investigate the diagnostic value of transvaginal color Doppler ultrasound in the diagnosis of polycystic ovary patients and analyze the accuracy of transvaginal color Doppler ultrasound diagnosis of polycystic ovary.Methods 89 cases of polycystic ovary patients in our hospital were selected,and 89 cases of infertility patients were selected as the control group.Transvaginal color Doppler ultrasonography and abdominal color Doppler ultrasonography were performed in both groups.The results of transvaginal examination were used as group A.The results of abdominal examination in the experimental group were taken as group B,and diagnosis was made based on the results of the examination.Results The medulla area, ovarian area and ovarian volume in the experimental group were all higher than those in the control group.The diagnostic accuracy of the experimental group was 96.62%,which was 23.59% higher than that of the control group.The maximum branch flow velocity,end diastolic blood flow velocity,and resistance were significant in both groups.The index difference was significant(P<0.05).Conclusion Polycystic ovary belongs to a high incidence of clinical disease.It can be seen in the puberty of patients with a higher incidence of morbidity,patients with infertility caused by serious illness after the onset, affecting the life and family happiness of patients,in addition to the more obvious difference in blood test results of polycystic ovary.The effect of imaging examination is relatively obvious.Transvaginal color Doppler ultrasound diagnosis can effectively observe whether the patient has abnormal ovarian structure.It is the main means of diagnosis of polycystic ovary and it is worthy of clinical promotion.
Objective To investigate the diagnostic value of transvaginal color Doppler ultrasound in the diagnosis of polycystic ovary patients and analyze the accuracy of transvaginal color Doppler ultrasound diagnosis of polycystic ovary.Methods 89 cases of polycystic ovary patients in our hospital were selected,and 89 cases of infertility patients were selected as the control group.Transvaginal color Doppler ultrasonography and abdominal color Doppler ultrasonography were performed in both groups.The results of transvaginal examination were used as group A.The results of abdominal examination in the experimental group were taken as group B,and diagnosis was made based on the results of the examination.Results The medulla area, ovarian area and ovarian volume in the experimental group were all higher than those in the control group.The diagnostic accuracy of the experimental group was 96.62%,which was 23.59% higher than that of the control group.The maximum branch flow velocity,end diastolic blood flow velocity,and resistance were significant in both groups.The index difference was significant(P<0.05).Conclusion Polycystic ovary belongs to a high incidence of clinical disease.It can be seen in the puberty of patients with a higher incidence of morbidity,patients with infertility caused by serious illness after the onset, affecting the life and family happiness of patients,in addition to the more obvious difference in blood test results of polycystic ovary.The effect of imaging examination is relatively obvious.Transvaginal color Doppler ultrasound diagnosis can effectively observe whether the patient has abnormal ovarian structure.It is the main means of diagnosis of polycystic ovary and it is worthy of clinical promotion.
引文
[1]徐立平,谢海平,王萍,李楠,顾佳棋,陈华盈.补肾活络方治疗青春期多囊卵巢综合征肾虚血瘀证的临床观察[N].中医药导报,2018,24(07):75-77.
[2]刘彩宁,刘晓锋,刘建梅.经阴道或直肠彩色多普勒超声对多囊卵巢综合征中的诊断价值[J].海南医学,2018,29(06):809-811.
[3]李琰,刘芳,彭晓玲,刘梨,贺涟漪.八段锦对多囊卵巢综合征患者体征、性激素及卵巢超声的影响[N].湖南中医药大学学报,2018,38(02):169-172.
[4]覃小菊,李碧兰,王慕贤.超声检测卵巢髓质面积/总面积比值诊断多囊卵巢综合征的价值[J].实用医技杂志,2018,25(02):154-155.
[5]吕云,刘素琴,古咏梅.阴道超声检查多囊卵巢综合征所致不孕症的诊断价值分析[J].山西医药杂志,2018,47(01):37-38.
[6]姜艳,梁蕾,房敬阳,闻志超,王玉凤,江艳,郭君.多囊卵巢综合征患者的超声形态学特征分析[J].中国医疗设备,2017,32(S2):130.
[7]康莲香,刘琴,王佩,李丽芳,卢咏梅.多囊卵巢综合征血清抑制素b与超声相关性临床分析[J].当代医学,2017,23(31):74-75.
[8]巫伟芳,朱桂清,张永红.经阴道超声监测卵泡发育在多囊卵巢综合征不孕患者的临床价值[J].现代诊断与治疗,2017,28(19):3543-3544.
[9]张琼珍,黄旴宁,刘艳婷,吴文萃,吴少芬.超声联合AMH水平变化分析对卵巢储备功能低下诊断价值研究[J].河北医学,2017,23(08):1323-1326.
[10]罗柳萍,陈莞春,杨维民.多普勒超声检查在鉴别多囊卵巢综合症分型和评估内分泌功能中作用研究[J].白求恩医学杂志,2017,15(01):103-105.
[2]刘彩宁,刘晓锋,刘建梅.经阴道或直肠彩色多普勒超声对多囊卵巢综合征中的诊断价值[J].海南医学,2018,29(06):809-811.
[3]李琰,刘芳,彭晓玲,刘梨,贺涟漪.八段锦对多囊卵巢综合征患者体征、性激素及卵巢超声的影响[N].湖南中医药大学学报,2018,38(02):169-172.
[4]覃小菊,李碧兰,王慕贤.超声检测卵巢髓质面积/总面积比值诊断多囊卵巢综合征的价值[J].实用医技杂志,2018,25(02):154-155.
[5]吕云,刘素琴,古咏梅.阴道超声检查多囊卵巢综合征所致不孕症的诊断价值分析[J].山西医药杂志,2018,47(01):37-38.
[6]姜艳,梁蕾,房敬阳,闻志超,王玉凤,江艳,郭君.多囊卵巢综合征患者的超声形态学特征分析[J].中国医疗设备,2017,32(S2):130.
[7]康莲香,刘琴,王佩,李丽芳,卢咏梅.多囊卵巢综合征血清抑制素b与超声相关性临床分析[J].当代医学,2017,23(31):74-75.
[8]巫伟芳,朱桂清,张永红.经阴道超声监测卵泡发育在多囊卵巢综合征不孕患者的临床价值[J].现代诊断与治疗,2017,28(19):3543-3544.
[9]张琼珍,黄旴宁,刘艳婷,吴文萃,吴少芬.超声联合AMH水平变化分析对卵巢储备功能低下诊断价值研究[J].河北医学,2017,23(08):1323-1326.
[10]罗柳萍,陈莞春,杨维民.多普勒超声检查在鉴别多囊卵巢综合症分型和评估内分泌功能中作用研究[J].白求恩医学杂志,2017,15(01):103-105.