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目的:探讨三种诊断方法对多囊卵巢综合征的诊断价值。方法:将70例多囊卵巢综合征(PCOS)患者按诊断方式不同分为CT组、MRI组、彩超组。前两组各30例,另将38例疑似PCOS者纳入彩超组,彩超组共48例。观察PCOS在三中诊断中方式下的表现,并对比PCO和PCOS在彩色多普勒超声中的表现。结果:PCOS和PCO患者在彩色多普勒超声中的卵巢间质面积、卵巢面积、及面积比值差异显著,P<0.05;PCOS患者与PCO患者卵巢间质血流阻力值和搏动值比较差异显著,P<0.05。结论:三种影像学诊断方式均可用于PCOS诊断,但应将三者联合,相互弥补,从而提高卵巢疾病的诊断正确率和辨别率。
Objective: To investigate the diagnostic value of three diagnostic methods in patients with polycystic ovary syndrome. Methods: Seventy patients with PCOS were divided into CT group, MRI group and color Doppler ultrasound group according to different diagnostic methods. The first two groups of 30 cases, and the other 38 cases of suspected PCOS were included in the color Doppler ultrasound group, a total of 48 cases. Observe the performance of PCOS in the third mode of diagnosis, and compare the performance of PCO and PCOS in color Doppler ultrasound. Results: There were significant differences in ovarian stromal area, ovarian area and area ratio between PCOS and PCO patients in color Doppler ultrasound (P <0.05). There was significant difference in ovarian stromal flow resistance and pulse between PCOS patients and PCO patients , P <0.05. Conclusion: All the three diagnostic imaging modalities can be used in the diagnosis of PCOS. However, the three methods should be combined to make up for each other, so as to improve the diagnostic accuracy and discrimination rate of ovarian diseases.