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目的:分析经直肠彩色多普勒超声对青春期多囊卵巢综合征(PCOS)的临床诊断价值分析。方法:选择我院2014年5月-2015年11月48例青春期PCOS患者,所有患者均先后接受经直肠彩色多普勒超声检查(TRS)及经腹彩色多普勒超声检查(TAS),比较两种方法卵巢显示效果、卵泡数目及大小、诊断符合率、声像图特征。结果:TRS子宫内膜显示率、双侧卵巢显示率及双侧卵泡显示率分别为100.00%、95.83%、95.83%,均显著高于TAS50.00%、27.08%、18.75%(P<0.05)。TRS检查平均卵泡数目为(15.75±3.05)个,显著多于TAS(6.45±1.48)个;TRS检查平均卵泡直径为(6.28±1.76)mm,明显小于TAS(7.72±1.45)mm(P<0.05)。TRS对PCOS的诊断符合率为93.75%,显著高于TAS27.08%(P<0.05)。结论:应用TRS诊断PCOS具有操作简便、无创、诊断准确率高等优点,可为PCOS的临床诊断提供可靠依据,,值得临床广泛推广与应用。
Objective: To analyze the value of transrectal color Doppler ultrasound in the diagnosis of adolescent polycystic ovary syndrome (PCOS). Methods: Forty-eight adolescents with PCOS were selected from May 2014 to November 2015 in our hospital. All patients underwent transrectal color Doppler ultrasonography (TRS) and transabdominal color Doppler ultrasonography (TAS) Two methods of ovarian display, the number and size of follicles, diagnostic coincidence rate, sonographic features. Results: The rates of TRS endometrium, bilateral ovaries and bilateral follicles were 100.00%, 95.83% and 95.83% respectively, which were significantly higher than those of TAS50.00%, 27.08% and 18.75% (P <0.05) . The mean number of follicles detected by TRS was (15.75 ± 3.05), significantly higher than that of TAS (6.45 ± 1.48). The average diameter of follicles detected by TRS was (6.28 ± 1.76) mm, significantly lower than that of TAS (7.72 ± 1.45) mm ). The diagnostic coincidence rate of TRS to PCOS was 93.75%, which was significantly higher than that of TAS (27.08%) (P <0.05). Conclusion: The diagnosis of PCOS with TRS has the advantages of easy operation, non-invasive, high diagnostic accuracy, which can provide a reliable basis for the clinical diagnosis of PCOS, which is worthy of wide application and promotion in clinic.