The diagnosis value of transvaginal three-dimensional ultrasonography in polycystic ovary syndrome diagnosis
10.3877/cma.j.issn.1672-6448.2017.09.010
- VernacularTitle:经阴道三维容积超声检查在多囊卵巢综合征患者诊断中的应用价值
- Author:
Yuanyuan AN
1
;
Yinghua XUAN
;
Xiaofei LI
;
Fengyun GAO
;
Zhen LI
;
Juan WANG
;
Qingqing WU
Author Information
1. 100025,首都医科大学附属北京妇产医院超声科
- Keywords:
Polycystic ovary syndrome;
Three-dimensional transvaginal ultrasound volume technology;
Diagnosis
- From:
Chinese Journal of Medical Ultrasound (Electronic Edition)
2017;14(9):680-684
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the diagnosis value of the three-dimensional transvaginal ultrasound volume technology in polycystic ovary syndrome (PCOS).Methods Totally 75 patients with PCOS and 50 normal subjects as controls from Beijing Obstetrics and Gynecology Hospital affiliated to Capital Medical University were chosed. The volume of the endometrium and ovaries were measured with virtual organ computer-aided analysis techniques (VOCAL). While the follicular numbers and the volumes were measured by sono follicle technique. The ovarian volumes, the follicular volumes and the endometrial volumes were compared between the two groups. Independent samplest test was used to compare PCOS group patients and healthy subjects with endometrial volumes, ovarian volumes, follicle volumes and the average numbers of follicle. Pearson correlation analysis was used to analyze the correlation between the number of total follicles and the volume of ovary, follicle volume and serum sex hormone concentration in PCOS group.Results With the endometrial volume of PCOS patients about (1.6±0.9) cm3 was less than that of the control group [(3.1±1.7) cm3]. The ovarian volume, follicular volume and the average number of follicles were (13.6±4.6) cm3, (1.9±0.7) cm3 and (27.7±7.4). All of them were higher than those in healthy subjects [(7.4±2.9) cm3, (1.1±0.7) cm3, (8.4±3.4)], and the differences were statistically significant (t=6.013, P<0.001;t=8.087,P=0.015;t=7.222,P<0.001;t=15.637,P<0.001). The total number of follicles in PCOS patients were positively correlated with ovarian volume, follicle volume and serum testosterone concentrations (r=0.467,P=0.000;r=0.446,P=0.000;r=0.383,P=0.001). There was no correlation with luteinizing hormone (LH)/thyroid stimulating hormone (TSH) (r=0.048,P=0.702).Conclusion The sono follicle and VOCAL technology provide a new and objective measurement method for PCOS diagnosis.
