摘要
目的:分析在多囊卵巢综合征患者中实施超声检查对患者内分泌功能评估以及诊断的应用价值。方法:选择2022年1月至2023年12月本院收治的疑似多囊卵巢综合征患者150例为研究对象,所有患者均接受超声检查与刮宫诊断,以刮宫诊断结果作为诊断金标准,分析超声对多囊卵巢综合征的诊断效能、对比阴性病例与阳性病例的超声检查结果、内分泌测定指标结果;将多囊卵巢综合征阳性病例分为肥胖型与非肥胖型,比较两组的生化代谢指标。结果:超声对多囊卵巢综合征的诊断灵敏度、特异度、准确率分别为97.62%、95.45%、96.67%,Kappa值为0.932;阳性病例的子宫内膜体积、卵泡刺激素、雌二醇水平比阴性病例更低(P<0.05);阳性病例的平均卵泡数目、卵巢体积、卵泡体积、血管化指数、血流指数、血管化血流指数、黄体生成素、睾酮比阴性病例更高(P<0.05);肥胖型多囊卵巢综合征患者的血浆胰岛素、稳态模型指数、总胆固醇比非肥胖型多囊卵巢综合征患者更高(P<0.05),但空腹血糖、甘油三酯、高密度脂蛋白、低密度脂蛋白胆固醇对比无差异(P>0.05)。结论:在多囊卵巢综合征患者中实施超声检查的诊断效能较高,经检查还能明确患者的内分泌功能变化情况,为患者后续治疗提供参考,有助于改善疾病预后。
Objective:To analyze the application value of ultrasonography in the evaluation and diagnosis of endocrine function in patients with polycystic ovary syndrome.Methods:150 patients with suspected polycystic ovary syndrome admitted to our hospital from January 2022 to December 2023 were selected as the research objects.All patients were diagnosed by ultrasound examination and curettage,the diagnostic results of curettage were used as the diagnostic gold standard,and the diagnostic efficiency of ultrasound for polycystic ovary syndrome was analyzed,comparison of negative cases and positive cases of patients with ultrasound examination results,the results of endocrine indicators;The positive cases of polycystic ovary syndrome were divided into obese and non-obese,and the biochemical metabolic indicators.Results:The sensitivity,specificity and accuracy of ultrasound in the diagnosis of PCOS were 97.62%,95.45%and 96.67%,respectively,kappa value of 0.932;Positive cases of endometrial volume,follicle stimulating hormone,estradiol levels lower than negative cases(P<0.05);Positive cases of the average number of follicles,ovarian volume,follicle volume,vascularization index,blood flow index,vascularization flow index,luteinizing hormone,testosterone were higher than the negative cases(P<0.05);The plasma insulin,homeostasis model index,total cholesterol was higher than in non-obese PCOS patients(P<0.05),but there was no difference in fasting blood glucose,triglycerides,high-density lipoprotein,and low-density lipoprotein cholesterol(P>0.05).Conclusion:The diagnostic efficiency of ultrasound examination in patients with polycystic ovary syndrome is relatively high.The examination can also clarify the changes of endocrine function of patients,and provide reference for the follow-up treatment of patients,it is helpful to improve the prognosis of the disease and is worth promoting.
作者
邹以每
杨春萍
马先翠
Zou Yimei;Yang Chunping;Ma Xiancui(Ultrasound Room,Donggang District Maternal and Child Health and Family Planning Service Center,Rizhao Shandong,276800,China;Lanshan District Huangdun Central Health Center,Rizhao Shandong,276800,China)
出处
《中外女性健康研究》
2024年第10期30-33,共4页
Women＇s Health Research
关键词
超声检查
多囊卵巢综合征
内分泌功能评估
诊断价值
Ultrasonography
Polycystic ovary syndrome
Endocrine function assessment
Diagnostic value
