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目的探讨子宫内膜厚度与卵巢血液改变的超声诊断对多囊卵巢综合征(polycystic ovary syndrome,PCOS)诊断的价值。方法选择2016年2月—2017年4月收治的PCOS患者72例为观察组,同期健康查体人员70名为对照组,对比两组患者子宫内膜厚度、卵巢动脉阻力指数(resistant index,RI);对比观察组患者月经周期调整治疗后排卵成功与失败患者子宫内膜厚度、卵巢动脉RI;对比观察组患者妊娠成功与妊娠失败患者子宫内膜厚度、卵巢动脉RI,采用SPSS19.0统计软件,计量资料采用x±s表示,两组均数比较采用t检验,率的比较采用χ2分析,P<0.05为差异有统计学意义。结果观察组患者子宫内膜厚度、RI显著低于对照组(P<0.05);观察组排卵成功患者子宫内膜厚度显著高于失败组(P<0.05),RI显著低于失败组(P<0.05);妊娠成功者子宫内膜厚度显著高于失败组(P<0.05)。结论 POCS患者子宫内膜厚度不随月经周期发生改变,卵巢动脉RI高,卵巢储备功能较差。超声检查诊断可评估卵巢储备功能、判断子宫内膜基底层发育潜能。
Objective To investigate the value of ultrasound diagnosis of endometrial thickness and ovarian blood changes in the diagnosis of polycystic ovary syndrome (PCOS). Methods Seventy-two patients with PCOS admitted from February 2016 to April 2017 were selected as the observation group and 70 healthy controls were selected as the control group. The changes of endometrial thickness, the index of resistance of the ovarian artery (RI) ). The endometrial thickness and ovarian artery RI were compared between the observation group and the control group in terms of the menstrual cycle and the ovulation success rate and failure rate. The endometrial thickness and ovarian artery RI were compared between the two groups. , Measurement data using x ± s, said two groups were compared using t test, the rate was compared using χ2 analysis, P <0.05 was considered statistically significant. Results The endometrial thickness and RI in observation group were significantly lower than those in control group (P <0.05). The thickness of endometrium in observation group was significantly higher than that in failure group (P <0.05), RI was significantly lower than that in failure group (P < 0.05). The thickness of endometrium in successful pregnancy was significantly higher than that in failure group (P <0.05). Conclusion The thickness of endometrium in patients with POCS does not change with the menstrual cycle. The RI of ovarian artery is high and the ovarian reserve function is poor. Ultrasound diagnosis can assess ovarian reserve function, to determine the development potential of the basal layer of the endometrium.