首页|经阴道或直肠彩色多普勒超声对多囊卵巢综合征的诊断价值观察

经阴道或直肠彩色多普勒超声对多囊卵巢综合征的诊断价值观察

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目的 探讨经阴道彩色多普勒超声(ECO-TV)或直肠彩色多普勒超声(TRUS)对多囊卵巢综合征(PCOS)的诊断价值。方法 选择2021年2月—2022年12月在本院实施检查的100例PCOS患者为观察组,选择同期100例健康体检者为对照组进行研究,所有患者均实施经阴道或直肠彩色多普勒超声检查,以临床各项指标结果为金标准,分析两组检查结果、血流动力学参数变化情况,并统计该方案的阳性检出率、诊断效能。结果 观察组经阴道或直肠彩色多普勒超声检查阳性率为98。88%;ECO-TV或TRUS诊断敏感度为98。86%、特异度为91。67%、准确率为98。00%,与金标准一致性为0。918。观察组卵巢内卵泡数、卵巢体积、卵巢面积、髓质面积、面积比值高于对照组,最大卵泡直径低于对照组,组间差异有统计学意义(P<0。05);观察组PI、RI低于对照组,PSV、EDV高于对照组,组间差异有统计学意义(P<0。05)。结论 在多囊卵巢综合征诊断中应用经阴道或直肠彩色多普勒超声,可提高诊断准确率、敏感度及特异度。
Diagnostic Value of Transvaginal Or Rectal Color Doppler Ultrasound for Polycystic Ovary Syndrome
Objective To explore diagnostic value of transvaginal color Doppler ultrasound(ECO-TV)or rectal color Doppler ultrasound(TRUS)for polycystic ovary syndrome(PCOS).Methods The paper chose 100 PCOS patients with examinations in our hospital from February 2021 to December 2022 as observation group,and 100 healthy individuals with physical examinations during the same period as control group for study,treated with transvaginal or rectal color Doppler ultrasound examinations,and alzed examination results and changes in hemodynamic parameters between two groups with gold standard of clinical indicators,and positive detection rate and diagnostic effect of the protocol was statistically analyzed.Results Positive rate of transvaginal or rectal color Doppler ultrasound examination was 98.88%,diagnostic sensitivity of ECO-TV or TRUS was 98.86%,specificity was 91.67%,accuracy was 98.00%,and consistency with the gold standard was 0.918.The number of follicles,ovarian volume,ovarian area,medullary area,and area ratio in observation group was higher than control group,while maximum follicle diameter was lower than control group(P<0.05).The PI and RI of observation group was lower than control group,while the PSV and EDV was higher than control group(P<0.05).Conclusion Transvaginal or rectal color Doppler ultrasound can improve diagnostic accuracy,sensitivity,and specificity in diagnosis of polycystic ovary syndrome.

VaginaRectumColor Doppler ultrasoundPolycystic ovary syndrome

郑春玲、王娜

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北京市健宫医院 超声室,北京 100052

阴道 直肠 彩色多普勒超声 多囊卵巢综合征

2024

智慧健康

智慧健康

ISSN:
年,卷(期):2024.10(12)