高促性腺激素性闭经卵巢超声表现与FSH,LH,E_2的关系  

Ultrasonic Study of Ovarian Morphology in Patients with Hypergonadotropic Ammenorrhea relationship with Serum FSH, LH, E_2 Levels

作　　者：赵金萍[1] 向红[2] 周春民[2] 

机构地区：[1]新疆医科大学第一附属医院核医学科,830000 [2]新疆医科大学第一附属医院B超室,830000

出　　处：《放射免疫学杂志》2004年第6期423-424,共2页Journal of Radioimmanology

摘　　要：目的 :利用经阴道超声观察高促性腺激素性闭经的卵巢的形态特征并进行分型 ,探讨与FSH、LH、E2 的关系。方法 :对临床诊断高促性腺激素闭经 38例患者进行阴道超声观察卵巢结构并同期测试血FSH、LH、E2 。结果 :该病卵巢结构在二维声象图上具有特征性改变 ,卵巢大小 (包括左右径、前后径 )明显小于正常值 (P <0 0 1)分为两型 :一型为有卵泡型 ,另一型为无卵泡型 ;两型之间FSH、LH、E2 值比较无统计学意义 (P>0 0 5 ) ,但两型之间卵巢大小差异有统计学意义 (P <0 0 1)。结论 :经阴道超声检查有助于高促性腺激素闭经诊断的分型并指导治疗。Objective To study the morphologic cbanges of ovary with transvaginal ultrasonography in patients with hypergonadotropic ammenorrhea as well as the relationship between the type of ovary and serum FSH、 LH、 E 2 levels. Methods Transvaginal ultrasonic examination of ovary was performed in 38 patients with hypergonadotropic ammenorrhea and 36 controls, serum levels of FSH, LH, E 2 were simultaneously determined with RIA. Results Morphologically, all the 38 pairs of ovaries in the patients were significantly smaller than those in the controls (as repersented by the transverse diameter and antero-posterior diameter, P<0.01). The ovaries were of two types: ① Small follicular type (early ovarian failure) ② non-follicular type (ovarian exhaustion). Serum FSH, LH, E 2 levels in these two type of patients were not much different, but the mean ovarian size in the small follicular type was significantly larger than that in the non-follicular type (P<0.01). Conclusion Transvaginal ultrasonography is very helpful for the differential diagnosis of the type of ovary in patients with hypergonadotropic ammenorrhea, providing guidelines for therapy. The accuracy is even superior to that by aparoscopic biopsy. In this study, the serum FSH level is not diagnostic.

关 键 词：卵巢 LH FSH 高促性腺激素闭经 促性腺激素 超声表现 分型 卵泡 大小 形态特征 

分 类 号：R711[医药卫生—妇产科学] R714[医药卫生—临床医学]