中国妇幼健康研究
中國婦幼健康研究
중국부유건강연구
CHINESE JOURNAL OF MATERNAL AND CHILD HEALTH RESEARCH
2014年
3期
436-437,520
,共3页
李秦莉%肖青%邓淑玲%胡玲玉%蔡莉%钟俊敏
李秦莉%肖青%鄧淑玲%鬍玲玉%蔡莉%鐘俊敏
리진리%초청%산숙령%호령옥%채리%종준민
多囊卵巢综合征%超声检查%内分泌%青春期%激素
多囊卵巢綜閤徵%超聲檢查%內分泌%青春期%激素
다낭란소종합정%초성검사%내분비%청춘기%격소
polycystic ovary syndrome ( PCOS)%ultrasonography%endocrine%adolescence%hormone
目的:探讨青春期多囊卵巢综合征( PCOS )患者超声特征与内分泌指标的相关性。方法选择2011年1月至2013年12月在广州市妇女儿童医疗中心妇科内分泌专科诊治的青春期PCOS患者35例作为病例组,同期选择30例健康青春期女性作为对照组。经直肠超声检查测量卵巢卵泡数、卵巢体积,并检测相关内分泌指标:空腹测血糖( FPG)、血浆胰岛素( FINS)、黄体生成素(LH)、卵泡刺激素(FSH)、黄体生成素与卵泡刺激素的比值(LH/FSH)、游离睾酮(FT)、性激素结合球蛋白(SHBG)。结果病例组平均卵巢体积(9.4±3.8 cm3)较对照组(5.1±1.9 cm3)明显增大,差异具有统计学意义( t=2.37,P<0.05);病例组的FPG、FINS、LH、FT高于对照组,FSH、SHBG低于对照组,差异均具有统计学意义( tFPG =1.94、tFINS =2.35、tLH =3.14、tFT =2.33,P<0.05;tFSH =2.86、tSHBG =4.12,P<0.05);青春期PCOS患者卵巢卵泡数与LH/FSH呈正相关(r=0.28,P<0.05),与FT浓度呈正相关(r=0.32,P<0.05);青春期PCOS患者卵巢体积与LH/FSH呈正相关(r=0.22,P<0.05),与FPG浓度呈正相关(r=0.30,P<0.05)。结论青春期PCOS患者与健康青春期女性超声特征及内分泌指标具有一定的差异,其超声特征与内分泌指标之间存在一定的相关性。
目的:探討青春期多囊卵巢綜閤徵( PCOS )患者超聲特徵與內分泌指標的相關性。方法選擇2011年1月至2013年12月在廣州市婦女兒童醫療中心婦科內分泌專科診治的青春期PCOS患者35例作為病例組,同期選擇30例健康青春期女性作為對照組。經直腸超聲檢查測量卵巢卵泡數、卵巢體積,併檢測相關內分泌指標:空腹測血糖( FPG)、血漿胰島素( FINS)、黃體生成素(LH)、卵泡刺激素(FSH)、黃體生成素與卵泡刺激素的比值(LH/FSH)、遊離睪酮(FT)、性激素結閤毬蛋白(SHBG)。結果病例組平均卵巢體積(9.4±3.8 cm3)較對照組(5.1±1.9 cm3)明顯增大,差異具有統計學意義( t=2.37,P<0.05);病例組的FPG、FINS、LH、FT高于對照組,FSH、SHBG低于對照組,差異均具有統計學意義( tFPG =1.94、tFINS =2.35、tLH =3.14、tFT =2.33,P<0.05;tFSH =2.86、tSHBG =4.12,P<0.05);青春期PCOS患者卵巢卵泡數與LH/FSH呈正相關(r=0.28,P<0.05),與FT濃度呈正相關(r=0.32,P<0.05);青春期PCOS患者卵巢體積與LH/FSH呈正相關(r=0.22,P<0.05),與FPG濃度呈正相關(r=0.30,P<0.05)。結論青春期PCOS患者與健康青春期女性超聲特徵及內分泌指標具有一定的差異,其超聲特徵與內分泌指標之間存在一定的相關性。
목적:탐토청춘기다낭란소종합정( PCOS )환자초성특정여내분비지표적상관성。방법선택2011년1월지2013년12월재엄주시부녀인동의료중심부과내분비전과진치적청춘기PCOS환자35례작위병례조,동기선택30례건강청춘기녀성작위대조조。경직장초성검사측량란소란포수、란소체적,병검측상관내분비지표:공복측혈당( FPG)、혈장이도소( FINS)、황체생성소(LH)、란포자격소(FSH)、황체생성소여란포자격소적비치(LH/FSH)、유리고동(FT)、성격소결합구단백(SHBG)。결과병례조평균란소체적(9.4±3.8 cm3)교대조조(5.1±1.9 cm3)명현증대,차이구유통계학의의( t=2.37,P<0.05);병례조적FPG、FINS、LH、FT고우대조조,FSH、SHBG저우대조조,차이균구유통계학의의( tFPG =1.94、tFINS =2.35、tLH =3.14、tFT =2.33,P<0.05;tFSH =2.86、tSHBG =4.12,P<0.05);청춘기PCOS환자란소란포수여LH/FSH정정상관(r=0.28,P<0.05),여FT농도정정상관(r=0.32,P<0.05);청춘기PCOS환자란소체적여LH/FSH정정상관(r=0.22,P<0.05),여FPG농도정정상관(r=0.30,P<0.05)。결론청춘기PCOS환자여건강청춘기녀성초성특정급내분비지표구유일정적차이,기초성특정여내분비지표지간존재일정적상관성。
Objective To study the correlation of ultrasound characteristics and endocrine indexes in adolescent polycystic ovary syndrome (PCOS) patients.Methods Totally 35 adolescent PCOS patients diagnosed in Guangzhou Women and Children ’ Medical Center during the period of January 2011 to December 2013 were recruited in case group , and 30 healthy adolescent girls at the same period were included in control group .The ultrasonic parameters of follicle number and ovarian volume were measured .The serum levels of fasting plasma glucose (FPG), fasting insulin (FINS), luteinizing hormone (LH), follicle stimulating hormone (FSH), the ratio of luteinizing hormone and follicle-stimulating hormone (LH/FSH), free testosterone (FT) and sex hormone binding globulin (SHBG) were tested.Results The ovarian volume of case group (9.4 ±3.8 cm3 ) was significantly higher than the control group (5.1 ±1.9cm3 ), and the difference was significant (t=2.37,P<0.05).The levels of FPG, FINS, LH and FT in case group were all significantly higher than the control group (tFPG =1.94, tFINS =2.35, tLH =3.14,tFT=2.33,all P<0.05), but the levels of FSH and SHBG were significantly lower (tFSH =2.86, tSHBG =4.12, both P <0.05).The follicle number was positively associated with LH/FSH and FT ( r value was 0.28 and 0.32, respectively, both P <0.05).The ovarian volume was positively associated with LH/FSH and FPG (r value was 0.22 and 0.30, respectively, both P<0.05).Conclusion There are differences in ultrasound characteristics and endocrine parameters between adolescent PCOS patients and healthy adolescent girls , and ultrasound characteristics are correlated with endocrine parameters .