盆腔超声参数特征诊断特发性中枢性性早熟女童中的价值  

The value of pelvic ultrasound parameter features in the diagnosis of idiopathic central precocious puberty in girls

作　　者：方荣荣 张云云 Fang Rongrong;Zhang Yunyun(Department of Ultrasound Medicine,Yulin Children's Hospital-Yuyang District People's Hospital,Yulin Shaanxi,719000,China)

机构地区：[1]陕西省榆林市儿童医院(榆林市榆阳区人民医院超声医学科),陕西榆林719000

出　　处：《中外女性健康研究》2024年第10期4-7,共4页Women＇s Health Research

摘　　要：目的:探讨与分析盆腔超声参数特征诊断特发性中枢性性早熟女童中的价值。方法:2019年12月至2022年10月选择在本院诊治的早期乳房发育女童120例作为研究对象,所有患儿都给予常规乳腺超声检查与盆腔超声检查,记录超声特征,并判断诊断价值。结果:在120例女童中,GnRH刺激试验检查判断为特发性中枢性性早熟78例(性早熟组),占比65.00%;单纯乳房发育症42例(单纯组),占比35.00%。性早熟的乳芽纵径、乳芽前后径、乳芽横径等与单纯组对比无明显差异(P>0.05)。性早熟组的子宫内膜厚度、子宫前后径、子宫长径、子宫横径等与单纯组对比有明显提高(P<0.05)。性早熟组的卵巢前后径、卵巢长径、卵巢横径、最大卵泡直径与单纯组对比显著提高(P<0.05)。盆腔超声诊断为特发性中枢性性早熟女童76例,盆腔超声诊断特发性中枢性性早熟女童的敏感性与特异性分别为96.15%(75/78)、97.62%(41/42),ROC曲线分析显示盆腔超声诊断特发性中枢性性早熟女童的曲线下面积(AUC)为0.868(95%CI:0.655~0.984)。结论:特发性中枢性性早熟女童的乳房常规超声特征表现不明显,在盆腔超声中可表现为子宫、卵巢异常,盆腔超声诊断特发性中枢性性早熟女童具有很好的效果。Objective:To explore and analysis the value sof pelvic ultrasound parameters in the diagnosis of idiopathic central precocious puberty in girls.Methods:From December 2019 to October 2022,120 cases of girls with early breast development who were diagnosed and treated at our hospital were selected as the research subjects.All cases were underwent routine breast ultrasound examination and pelvic ultrasound examination,and ultrasound features were recorded.All cases were also given Gonadotropin releasing hormone(GnRH)test and evaluated for diagnostic value.Results:There were 78 cases(65.00%)were diagnosed as idiopathic central precocious puberty through the gonadotropin releasing hormone stimulation test in the 120 cases(precocious group);and there were 42 cases of simple breast development(simple group),accounting for 35.00%.There were no significant difference in the longitudinal diameter,anteroposterior diameter,and transverse diameter of breast buds compared between the precocious group and the simple group(P>0.05).The endometrial thickness,anteroposterior uterine diameter,uterine length,and uterine transverse diameter of the precocious puberty group were significantly increased compared to the simple group(P<0.05).The anterior posterior diameter,long diameter,transverse diameter,and maximum follicular diameter in the precocious puberty group were significantly increased compared to the simple group(P<0.05).There were 76 cases of diagnosed with idiopathic central precocious puberty by pelvic ultrasound.The sensitivity and specificity of pelvic ultrasound in diagnosing idiopathic central precocious puberty were 96.15%(75/78)and 97.62%(41/42),respectively.ROC curve analysis showed that the area under the curve(AUC)for pelvic ultrasound in diagnosing idiopathic central precocious puberty in the girls were 0.868(95%CI:0.655~0.984).Conclusion:The conventional ultrasound features of the breasts in girls with idiopathic central precocious puberty are not obvious,but can be manifested as uterine and ovarian abnormalities

关 键 词：特发性中枢性性早熟 女童 盆腔超声 子宫 卵巢 诊断价值 

分 类 号：R445.1[医药卫生—影像医学与核医学]