经阴道三维容积超声评估肥胖型多囊卵巢综合征的临床价值分析  

Evaluation of the clinical value of transvaginal three-dimensional volume ultrasound in patients with obesity-related polycystic ovary syndrome

作　　者：李玲 陈雯婉 黄艺 李淑清 张红安 LI Ling;CHEN Wenwan;HUANG Yi;LI Shuqing;ZHANG Hong'an(Department of Ultrasound,Shenzhen Qianhai Shekou Free Trade Zone Hospital,Shenzhen,Guangdong 518067,China)

机构地区：[1]深圳市前海蛇口自贸区医院超声科,广东深圳518067

出　　处：《影像研究与医学应用》2025年第1期31-35,共5页Journal of Imaging Research and Medical Applications

摘　　要：目的:探讨经阴道三维超声(3D-TVS)容积成像评估肥胖型与非肥胖型多囊卵巢综合征(PCOS)患者卵巢超声指标差异及临床价值。方法:回顾性分析2020年3月—2021年9月于深圳市前海蛇口自贸区医院就诊的140例育龄期PCOS患者作为研究对象,根据体质量指数(BMI)将BMI≥28 kg/m^(2)归为肥胖型PCOS组(n=71),BMI<28 kg/m^(2)归为非肥胖型PCOS组(n=69)。所有患者均行内分泌水平、经阴道二维超声(2D-TVS)、3D-TVS、卵巢间质动脉血流及三维能量多普勒超声检查,分析两组的内分泌指标及超声检查结果的差异。结果:肥胖型PCOS组卵泡刺激素(FSH)、催乳素(PRL)、雌二醇(E_(2))浓度低于非肥胖型PCOS组,差异有统计学意义(P<0.05);组间黄体生成素(LH)差异无统计学意义(P>0.05);肥胖型PCOS组卵泡数、卵巢平均直径、卵巢体积及卵泡体积均大于非肥胖型PCOS组,差异均有统计学意义(P<0.05);肥胖型PCOS组卵巢间质动脉阻力指数(RI)、搏动指数(PI)、血管化指数(VI)、卵巢间质的血流指数(FI)、血管化血流指数(VFI)值均高于非肥胖型PCOS组,而卵巢间质动脉的收缩期峰值流速和舒张末期血流速度低于非肥胖型PCOS组,差异均有统计学意义(P<0.05)。结论:基于最新版的肥胖定义,肥胖型PCOS患者卵巢体积更大、卵泡数目更多、卵巢间质血流量更丰富。3D-TVS可以提供更全面有价值的卵巢影像学信息。Objective To explore the differences and clinical value of ovarian ultrasound indicators between obese and non-obese patients with polycystic ovary syndrome(PCOS)evaluated by three-dimensional transvaginal sonography(3D-TVS)volume imaging.Methods A retrospective analysis was conducted on 140 PCOS patients of childbearing age who visited Shenzhen Qianhai Shekou Free Trade Zone Hospital from March 2020 to September 2021.According to the body mass index(BMI),BMI≥28 kg/m^(2) was classified as obese PCOS group(n=71),while BMI<28 kg/m^(2) was classified as non-obese PCOS group(n=69).All patients underwent endocrine level,two-dimensional transvaginal sonography(2D-TVS),3D-TVS,ovarian interstitial artery blood flow,and three-dimensional power Doppler ultrasound examinations.The differences in endocrine indicators and ultrasound examination results between the two groups were analyzed.Results The concentrations of follicle stimulating hormone(FSH),prolactin(PRL),and estradiol(E2)in the obese PCOS group were significantly lower than those in the non-obese PCOS group,with statistical significance(P<0.05);there was no statistically significant difference in luteinizing hormone(LH)levels between groups(P>0.05);the number of follicles,average ovarian diameter,ovarian volume,and follicle volume in the obese group were higher than those in the non-obese PCOS group,and the differences were statistically significant(P<0.05);in patients with PCOS,the resistance index(RI),pulsatility index(PI),vascularization index(VI),and ovarian stromal blood flow indices(FI),as well as the vascularization flow index(VFI),were all higher in the obese PCOS group compared to the non-obese PCOS group.Conversely,the peak systolic velocity and end-diastolic velocity values were lower in the obese PCOS group.These intergroup differences were statistically significant(P<0.05).Conclusion Based on the latest definition of obesity,patients with obesity-related PCOS exhibit larger ovarian volumes,a higher number of follicles,and increased ovarian stromal b

关 键 词：经阴道三维超声容积成像 多囊卵巢综合征 体质量指数 肥胖 

分 类 号：R445.1[医药卫生—影像医学与核医学]