超声检查在多囊卵巢综合征诊断中的应用价值

:1005-2216(2008)03-0175-031,2:;;keywords:ultrasonographicexamination;polycysticovarysyndrome;ovarianhyperstimulationsyndrome:R71:C:11,150040;21,116021:[e-mail](PCOS),,,,PCOSPCOS,PCOS,(OHSS),,,PCOS,1PCOS111(transabdominalscan,TAS),,,,,,Atiomo[1],10,PCOS8614%,PCOS42%,,,112(transvaginalscan,TVS)TVSTAS,,,,,,,,(PCO),TVS:,,,[2],,PCOS,95%,96%,(theovarianstroma/totalarearatio,S/A)100%S/APCO[3]PCOS113,28d,810Batlaglia[4]PCOS3888%,50%,,,83%,,100%,,PCOS,:(PI)(RI)24h,PIRI(LH),PIRI,[5],PCOS[6]114(three2dimensionalul2trasound,3D2US),3D2US,,,,PCOSAllemand[7]Jonard[8]3D2USPCOS(folliclenumberperovary,FNPO)3D2US,,,,,(vascularizationindex,VI),(flowindex,FI),(vascularizationflowindex,VFI)VI,FI,VFI57120083243Pan[9]PCOS,PCOSVIFIVFI,Yu[10]PCOS34VIFIVFI,PCOS(25)VIFIVFI(25),3D2USPCOS,PCOS2PCOS211PCOSPCOS,PCOSSamuel[11],1028mm,12mm,Fulghesu[3]0134,PCOS100%PCOSAllemand[7]3D2US1219mLPCOS,50%,100%,Allemand[7]FNPO1918,PCOS80%,100%Jo2nard[8]11mL()FNPO12(29mm)PCOS,Pan[9]VI,FI,VFIPCOS,PCO15,Bat2laglia[4]PCOS,LH(,,)212PCOSPCOS,,2003:12,29mm10mL30%PCOSPCO10mm,,92%;PCO,78%:PCO,(614mL)(910)(317mL)(117)PCOSPCOS,[12]3PCOS,(HCG)311OHSSOHSS(assistedreproductivetechniques,ART)PCOSOHSSOHSSOHSS,PIRIOHSS[13],PCOS,VFI,VI,FIOHSSPCOS,,OHSS312PCOS,,PIRI,,[13],PI,(DHEA),[14215]313PCOS,,172(23ng/mL),212PCOS35,(mutifollicularovary):(1)610,410mm(2),(3),Adams[16],PCOS1416810614mL[1]AtiomoWU,PearsonS,ShawS,etal.Ultrasoundcriteriainthediagnosisofpolycysticovarysyndrome(PCOS)[J].UltrasoundMedBiol,2000,26(6):97729801[2]BentovY,LevitasE,SilbersteinT,etal.Cullen’ssignfollowingultrasound2guidedtransvaginaloocyteretrieval[J].FertilSteril,671200832432006,85(1):2271[3]FulghesuAM,CiampelliM,BelosiC,etal.Anewultrasoundcrite2rionforthediagnosisofpolycysticovarysyndrome:theovarianstro2ma/totalarearatio[J].FertilSteril,2001,76(2):32623311[4]BatlagliaC,RegnaniG,ManciniH,etal.Isolatedprematurepubarche:ultrasonographicandcolorDopploranalysis2alongitu2dinalstudy[J].ClinEndocrinolMetabl,2002,87:3148211541[5]HassanMA,KillickSR.Ultrasounddiagnosisofpolycysticova2riesinwomenwhohavenosymptomsofpolycysticovarysyn2dromeisnotassociatedwithsubfecundityorsubfertility[J].Fer2tilSteril,2003,4(80):96629751[6]AjossaS,GuerrieroS,PaolettiA,etal.Theantiandrogenicpa2tientsundergoinginvitrofertilizationembryotransfer[J].FertilSteril,2002,77(6):1136211401[7]AllemandMC,PhyJL,FoongSC,etal.Morphologicalcriteriaforthediagnosisofpolycysticovariansyndrome(PCOS)by32di2mensional(3D)transvaginalultrasound(TVUS)[J].Ultra2soundObstetGynecol,2004,82(2):4661[8]JonardC,RobertY,CortetRC,etal.UltrasoundexaminationofPCOSpolycysticovaries:isitworthcountingthefollicles[J].HumanReprod,2003,(18)3:59826031[9]PanHA,WuMH,ChengYC,etal.QuantificationofDopplersignalinpolycysticovarysyndromeusingthree2dimensionalultra2sonography:apossiblenewmarkerfordiagnosis[J].HumanReprod,2002,(17)1:20122061[10]YuEH,WaiCC,BinWS,etal.Comparisonofovarianstro2malbloodflowbetweenfertilewomenwithnormalovariesandinfertilewomenwithpolycysticovarysyndrome[J].HumanReprod,2005,20(7);1881218861[11]SamuelS.Polycysticovarysyndrome[J].PostgradObstetGy2necol,2005,25(3):1271[12]TheRotterdamESHRE/ASRM-SponsoredPCOSConsensusWorkshopGroup.Revised2003consensusondiagnosticcriteriaandlong2termhealthrisksrelatedtopolycysticovarysyndrome[J].FertilSteril,2004,81(1):202251[13]CostelloMF,ShresthaSM,SjoblomP,etal.PowerDopplerultrasoundassessmentofovarianperifollicularbloodflowinwomenwithpolycysticovariesandnormalovariesduringinvitrofertilizationtreatment[J].FertilSteril,2005,83(4):94529541[14]JarvelaIY,SladkeviciusP,KellyS,etal.Comparisonoffollic2ularvascularizationinnormalversuspolycysticovariesduringinvitrofertilizationasmeasuredusing32dimensionalpowerDopplerultrasonography[J].FertilSteril,2004,82(5):1358213631[15]AllemandMC,PhyJL,FoongSC,etal.Morphologicalcriteriaforthediagnosisofpolycysticovariansyndrome(PCOS)by32dimensional(3D)transvaginalultrasound(TVUS)[J].FertilSteril,2004,81(1):30023011[16]AdamsJ,FranksS,PolsonDW,etal.Multifollicularovaries:clinicalandendocrinefeaturesandresponsetopulsatilegonado2tropinreleasinghormone[J].Lancet,1985,2:1375213791(2007-12-02):1005-2216(2008)03-0177-03,:,300052:[e-mail]:;;keywords:pelviccongestionsyndrome;pelvicvenography;ultrasonographicexamination:R71:C1(pelviccongestionsyndrome),;;1949Taylor,Taylor[123]2211,,23,56;,,;,,,,,,,,212,,,;,,;,,213,56,,,,77120083243