Value of ovary ultrasonic features combined with endocrine indicators in patients with different polycystic ovary syndrome
10.7619/jcmp.201703027
- VernacularTitle:卵巢超声特征联合内分泌指标在不同类型多囊卵巢综合征应用价值分析
- Author:
Xiaozhuo HAO
1
;
Shu ZHANG
;
Shubin LUNA
Author Information
1. 辽宁省沈阳市第四人民医院超声科
- Keywords:
ovary ultrasound;
endocrine;
insulin resistance;
polycystic ovary syndrome
- From:
Journal of Clinical Medicine in Practice
2017;21(3):89-92
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the value of ovary ultrasonic features and endocrine indicators in patients with polycystic ovary syndrome.Methods A total of 218 polycystic ovary syndrome between February 2013 and March 2015 were selected as research objects.And they were divided into HOMA-IR insulin resistance group (n =115) with HOMA-IR more than 2.69,and non insulin resistance group (n =103 cases) with HOMA-IR less than 2.69.And another 69 healthy people were selected in the same period as control group.The ovary ultrasonic features such as ovarian capsule thickness,ovary diameter,maximum diameter of follicle,OV,follicular volume,follicle count,flow indicators were checked.And the endocrine indicators such as FSH,LH,LH/FSH,E2,T,PRL,FINs,FPG,SHBG were determined.Results The ovarian capsule thickness,OV,ovary diameter,follicular volume,follicle count,flow indicators of insulin resistance group and non insulin resistance group were more than control group (P ＜ 0.05).The OV,ovary diameter,follicular volume,follicle count,flow indicators of insulin resistance group were more than non insulin resistance group,maximum diameter of follicle was less than non insulin resistance group (P ＜ 0.05).The LH,LH/FSH,FSH,FINs and T of insulin resistance group and non insulin resistance group were more than that of controlgrouD (P ＜ 0.0 5).SHBG and E2 were less than control group (P ＜ 0.0 5).FPG of insulin resistance group was more than control group (P ＜ 0.0 5).The T and FINs of insulin resistance group were more than non insulin resistance group (P ＜ 0.05).The SHBG of insulin resistance group was less than non insulin resistance group (P ＜ 0.05).Single factor correlation analysis showed that OV was positively correlated with LH/FSH,T,BMI and HOMA-IR(r =0.255,0.267,0.534,0.427,P ＜0.05),maximum diameter of follicle was negatively correlated with T,HOMAIR,BMI (r =-0.426,-0.433,-0.317,P ＜ 0.05).FSH was positively correlated with follicle count (r =O.817,P ＜ 0.05).Conclusion The maximum diameter of follicle is decreased,and OV is magnified of insulin resistance type of polycystic ovary syndrome.OV is positively correlated with LH/FSH,T,BMI and HOMA-IR.Maximum diameter of follicle is negatively correlated with T,HOMA-IR,and BMI.FSH was positively correlated with follicle count.
