超声观察子宫内膜、卵泡在女性生殖内分泌疾病诊疗中的应用研究  

Ultrasonic observation of endometrium and follicle in the diagnosis and treatment of female reproductive endocrine diseases

作　　者：王宇容 李维芝 包军荣 Wang Yurong;Li Weizhi;Bao Junrong(Gynecological Clinic,Qujing Maternal and Child Health Hospital,Qujing 655000,China)

机构地区：[1]云南省曲靖市妇幼保健院妇科门诊,云南曲靖655000

出　　处：《实用妇科内分泌电子杂志》2023年第16期99-101,共3页Electronic Journal of Practical Gynecological Endocrinology

摘　　要：目的探讨超声观察子宫内膜、卵泡在女性生殖内分泌疾病诊疗中的应用效果。方法选取60例多囊卵巢综合征(PCOS)患者作为试验组;另选取同期60例健康体检女性作为对照组。两组均进行经阴道三维容积超声检查,比较两组子宫内膜、卵泡等检查情况。结果试验组睾酮(T)、雌激素(E_(2))、促黄体生成素(LH)及卵泡刺激素(FSH)水平均明显高于对照组,差异有统计学意义(P<0.05)。试验组的子宫内膜容积明显小于对照组,卵巢容积、卵泡容积、间质容积均大于对照组,卵泡数量多于对照组,差异有统计学意义(P<0.05)。试验组阻力指数(0.60±0.11)明显低于对照组(0.95±0.07),收缩期、舒张末期血流速度分别为(12.82±2.33)cm/s、(6.70±1.33)cm/s均明显快于对照组的(9.05±3.02)cm/s、(5.23±1.12)cm/s,差异有统计学意义(P<0.05)。结论经阴道三维容积超声检查方式,便于对女性生殖内分泌疾病进行观察分析,计算卵巢容积参数、血流参数,具有较高的诊断价值,值得临床推广。Objective To explore the effect of ultrasonography on endometrium and follicle in the diagnosis and treatment of female reproductive endocrine diseases.Methods 60 patients with polycystic ovary syndrome(PCos)were selected as the experimental group.Another 60 healthy women were selected as control group.Transvaginal three-dimensional volume ultrasonography was performed in both groups to compare the endometrial and follicle of the two groups.Results The levels of testosterone(T),estrogen(E_(2)),luteinizing hormone(LH)and follicle stimulating hormone(FSH)in experimental groups were significantly higher than those in control group,with statistical significance(P<0.05).The endometrial volume of the experimental group was significantly lower than that of the control group,the ovarian volume,follicle volume and interstitial volume were all greater than that of the control group,and the number of follicles was higher than that of the control group,with statistical significance(P<0.05).The resistance index of experimental group(0.60±0.11)was significantly lower than that of control group(0.95±0.07).Systolic and end-diastolic blood flow velocity of(12.82±2.33)cm/s and(6.70±1.33)cm/s were significantly faster than those of the control group(9.05±3.02)cm/s and(5.23±1.12)cm/s,the difference was statistically significant(P<0.05).Conclusion Transvaginal three-dimensional volume ultrasound is convenient for observation and analysis of female reproductive endocrine diseases and calculation of ovarian volume parameters and blood flow parameters,which has high diagnostic value and is worthy of clinical promotion.

关 键 词：超声 子宫内膜 卵泡 内分泌疾病 多囊卵巢综合征 

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