引用本文:谭杰琳.女童中枢性性早熟盆腔超声诊断结果分析[J].中国临床新医学,2016,9(3):244-247.
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女童中枢性性早熟盆腔超声诊断结果分析
谭杰琳
545006 广西,柳州市人民医院超声科
摘要:
[摘要] 目的 探讨盆腔彩色多普勒超声诊断女童中枢性性早熟的价值。方法 采用彩色多普勒超声(CDFI)测量中枢性性早熟女童子宫、卵巢大小和最大卵泡大小,以及一个切面的最大卵泡数。并与正常同龄女童的各项测值进行比较。结果 中枢性性早熟女童子宫各测值大于正常同龄女童(P<0.05):子宫和卵巢的容积、最大卵泡直径增大明显;一个切面的卵泡数增多,一侧或双侧卵巢内见5~7个卵泡,平均直径为(6.6±2.96)mm,最大达13 mm;宫颈与宫体长度之比达1∶1.5~2。结论 CDFI检查无创、无痛、快捷、可靠,应用于中枢性性早熟女童的诊断及鉴别诊断具有较大价值。
关键词:  超声  中枢性性早熟  子宫  卵巢
DOI:10.3969/j.issn.1674-3806.2016.03.19
分类号:R 445.1
基金项目:
Analysis of pelvic Ultrasound diagnosis for girls with central precocious puberty
TAN Jie-lin
Department of Ultrasound, the People′s Hospital of Liuzhou City, Guangxi 545006, China
Abstract:
[Abstract] Objective To investigate the changes of ovary shape and size in girls with central precocious uterus and to improve the accuracy of diagnosis for central precocious puberty(CPP).Methods The ovarian follicle sizes and the maximum size of CPP girls′ uterines were measured using color doppler ultrasound.The measurement of the maximum follicle was taken on one section,and the measured values were compared with those in the normal girls of the same age.Results The measured values of uterus in CPP girls were greater than those in the normal girls of the same age(P<0.05): the volume of the uterus and ovaries, and the largest follicle diameter were significantly greater in CPP girls than those in the normal girls. The number of follicles increase was elevated on each measured section and 5 to 7 follicles can be seen on one or both sides of ovaries,with a mean diameter being (6.6±2.96)mm and the maximum one being up to 13 mm; the ratio of cervix length to uterus length was in the range of 1∶1.5~2.Conclusion Ultrasonography can be used as a noninvasive, painless, simple and reliable assessment method for the diagnosis of CPP in girls.
Key words:  Ultrasound  Central precocious puberty(CPP)  Ovary  Uterus