经阴道彩色多普勒在评估卵巢储备功能的临床价值  

The Clinical Value of Transvaginal Color Doppler in Evaluating Ovarian Reserve Function

作　　者：钟思苗[1] 欧婉燕[1] 黄芳[1] 陈瑞芳[1] 吴小文[1] ZHONG Simiao;OU Wanyan;HUANG Fang;CHEN Ruifang;WU Xiaowen

机构地区：[1]广东省肇庆市第一人民医院,广东肇庆526060

出　　处：《中国医学创新》2020年第1期147-150,共4页Medical Innovation of China

基　　金：肇庆市科技创新指导类项目(18061309)。

摘　　要：目的:研究经阴道彩色多普勒超声在评估卵巢储备功能中的临床价值。方法:回顾性分析本院2018年6月-2019年6月96例行经阴道彩色多普勒超声检查育龄期妇女的临床资料,根据卵巢储备功能情况分为正常组(卵巢储备功能正常,30例)、下降组(卵巢储备功能下降,38例)及早衰组(卵巢早衰,28例)。比较三组窦卵泡计数(AFC)和卵巢体积(OV)。分析经阴道彩超相关定量指标判定卵巢储备功能的准确性。结果:不同卵巢储备功能状态女性AFC和OV水平比较,差异均有统计学意义(P<0.05)。ROC分析结果显示AFC与OV判断女性卵巢储备功能状态具有较高的准确性(AUC>0.75,P<0.05)。结论:经阴道彩色多普勒超声检查有助于定量分析卵巢储备功能,其中AFC准确性较高。Objective:To study the clinical value of transvaginal color Doppler in evaluating ovarian reserve function.Method:The clinical dates of 96 women from June 2018 to June 2019 of childbearing age examined by transvaginal color Doppler ultrasound were retrospectively analyzed.They were divided into normal group(30 cases with normal ovarian reserve function),declining group(38 cases with decreased ovarian reserve function)and premature failure group(28 cases with premature ovarian failure),which accorded to the condition of ovarian reserve function.The antral follicle count(AFC)and ovarian volume(OV)were compared among the three groups.Result:The levels of AFC and OV in women with different ovarian reserve status were significantly different(P<0.05).The results of ROC analysis showed that the AFC and OV had high accuracy in judging ovarian reserve function(AUC>0.75,P<0.05).Conclusion:The transvaginal color Doppler ultrasonography is helpful for quantitative analysis of ovarian reserve function,and the accuracy of AFC is higher.

关 键 词：经阴道彩色超声 卵巢储备功能 临床价值 

分 类 号：R445.1[医药卫生—影像医学与核医学] R711.75[医药卫生—诊断学]