超声诊断在多囊卵巢综合征子宫内膜厚度及卵巢血液改变过程中的应用价值.docVIP

超声诊断在多囊卵巢综合征子宫内膜厚度及卵巢血液改变过程中的应用价值 　　[摘要] 目的 通?^超声诊断子宫内膜厚度及卵巢血液改变，探讨其在多囊卵巢综合征（polycystic ovary syndrome，PCOS）中的临床应用价值。 方法 选取2016年2～12月在我院进行治疗的50例PCOS患者作为观察组，选取同期体检健康女性50例作为对照组，应用彩色多普勒超声检测两组人群的子宫内膜厚度和卵巢血液动力学变化的4项指标参数，即卵巢内收缩期峰值血流速度（peak systolic flow velocity，PSV）、血流指数（flow index，FI）、卵巢动脉阻力指数（resistance index，RI）、卵巢动脉搏动指数（pulsatility index，PI）。再根据PCOS患者中不同停经天数分组，行上述超声检测，收集数据并比较分析。 结果 观察组子宫内膜厚度高于对照组，观察组PSV值明显高于对照组，而FI和PI值明显较对照组低，其差异均具有统计学意义（P均90 d组的患者与其他各停经天数组比较，子宫内膜厚度和PSV值较其他停经天数组增高，RI值较其他停经天数组降低，其差异具有统计学意义（P均0.05）。 结论 超声技术能直观检测到PCOS患者的子宫内膜厚度增加，其卵巢动脉血液越丰富，动脉阻力越小，动脉搏动减弱，血流速度越快，为PCOS疾病的诊断和监测病情发展提供临床参考价值。 　　[关键词] 子宫内膜厚度；卵巢血液改变；超声；多囊卵巢综合征 　　[中图分类号] R730.41 [文献标识码] B [文章编号] 1673-9701（2018）05-0121-03 　　[Abstract] Objective To investigate the clinical application value of ultrasound in polycystic ovary syndrome （PCOS） through the diagnosis of endometrial thickness and ovarian blood change. Methods A total of 50 patients with PCOS who were treated in our hospital from February to December 2016 were selected as the observation group and 50 healthy women in the same period were chosen as the control group. The endometrial thickness and the four indicators of ovarian hemodynamic parameters， namely the peak systolic flow velocity （PSV）， blood flow index （FI）， ovarian artery resistance index（RI） and ovarian pulsatility index（PI） were detected by color Doppler ultrasound. Then according to different days of menopause， the PCOS patients were grouped and underwent the above ultrasonic testing. The data were collected and comparatively analyzed. Results The endometrial thickness in the observation group was higher than that in the control group. The PSV in the observation group was significantly higher than that in the control group， while the FI and PI were significantly lower in the observation group than those in the control group， and the difference between the two groups was significant（all P90 days group was higher than that of other menopause days groups， and RI value in me