非肥胖型PCOS不孕患者超声测量肥胖指标的临床研究  

Clinical study on obese indexes measured by ultrasonography in infertile patients with non-obese PCOS

作　　者：何冰[1] 万里凯[1] 谭卫红[1] 陆建柳[1] 覃捷[1] 滕敏[1] 覃利华[1] 

机构地区：[1]广西壮族自治区人民医院生殖医学与遗传中心,广西南宁530021

出　　处：《中国妇幼保健》2013年第19期3080-3082,共3页Maternal and Child Health Care of China

基　　金：广西壮族自治区科技攻关课题〔10124001A-52〕

摘　　要：目的:探讨体重指数(BMI)正常的不孕症患者中,多囊卵巢综合征(Polycystic Ovary Syndrome,PCOS)即非肥胖型PCOS(NOB-PCOS)与非PCOS(对照组)患者之间内脏脂肪厚度(visceral fat thicknes,VFT)及判断肥胖相关的人体测量值的差异,为更好地治疗NOB-PCOS不孕症提供依据。方法:检测不孕症患者中BMI正常的140例PCOS及81例非P-COS患者的基础性激素,用超声检测腹部皮下脂肪、内脏脂肪、肝前脂肪、肝前皮下脂肪厚度,测量身高、体重、腹围、腰围、臀围等,对两组间上述指标进行分析。结果:NOB-PCOS组血清促黄体生成素(LH)、睾酮(T)明显高于非PCOS组(P<0.05);NOB-PCOS组腹围、腹部皮下脂肪厚度及内脏脂肪厚度明显高于非PCOS组(P<0.05)。结论:NOB-PCOS不孕症患者腹围、腹部皮下脂肪及内脏脂肪厚度等判断肥胖的指标大于非PCOS患者,治疗时应引起重视。Objective： To explore the differences of visceral fat thickness（VFT） and obesity-related body measurements between infertile patients with normal body mass index（BMI） and polycystic ovary syndrome（PCOS） and infertile patients with normal BMI and without PCOS,and provide a basis for cure infertile patients with non-obese PCOS.Methods： The levels of basic sex hormones in 140 infertile patients with PCOS and normal BMI and 81 infertile patients with normal BMI,ultrasound was used to detect the thicknesses of abdominal subcutaneous fat,visceral fat,prehepatic fat and prehepatic subcutaneous fat;body height,body weight,abdominal circumference,waist circumference and hip circumference were measured;the above-mentioned indexes in the two groups were analyzed.Results： The serum levels of luteinizing hormone（LH） and testosterone in non-obese PCOS group were statistically significantly higher than those in non-PCOS group（P 0.05）;abdominal circumference,abdominal subcutaneous fat thickness and visceral fat thickness in non-obese PCOS group were statistically significantly higher than those in non-PCOS group（P 0.05）.Conclusion： The abdominal circumference,abdominal subcutaneous fat thickness and visceral fat thickness in infertile patients with non-obese PCOS are higher than those in infertile patients without PCOS,which needs more attention in the course of treatment.

关 键 词：多囊卵巢综合征 体重指数 腹部皮下脂肪 内脏脂肪 肝前脂肪 超声检查 

分 类 号：R711.6[医药卫生—妇产科学]