Ultrasound criteria in the diagnosis of polycystic ovary syndrome (PCOS)
Ultrasound criteria in the diagnosis of polycystic ovary syndrome (PCOS)
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DOI：
10.1016/s0301-5629(00)00219-2
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发表时间：
2000-07-01
影响因子：
2.9
通讯作者：
Dubbins, P
中科院分区：
文献类型：
--
作者：
Atiomo, WU;Pearson, S;Dubbins, P
并不是所有的多囊卵巢综合征（PCOS）女性超声（US）上都有该综合征，PCOS的临床和生化特征可能没有US特征。因此，我们前瞻性地测定了72名女性（32名PCOS和40名对照）US检测PCOS的敏感性。最敏感的特征是存在10个或更多的卵泡（82%和69%在左右卵巢）和卵泡周围分布（81.8%和71.9%在左右卵巢）。虽然卵巢肿大和间质亮度不像以前的标准那么敏感，但间质亮度是最具体的。综合各项指标预测PCOS或控制的正确率为86.4%。本研究表明，建立的美国多囊卵巢标准在多囊卵巢综合征的诊断中仍然有价值；然而，左右卵巢之间的差异是一个有趣但无法解释的发现。(C) 2000年世界超声医学与生物学联合会。
Not all women with the polycystic ovary syndrome (PCOS) on ultrasound (US) will have the syndrome, and clinical and biochemical features of PCOS may be present without US features, The sensitivity of US in detecting PCOS was, therefore, prospectively determined in 72 women (32 PCOS and 40 controls). The most sensitive features were the presence of 10 or more follicles (82% and 69% in the left and right ovary) and a peripheral distribution of follicles (81.8% and 71.9% in the left and right ovary). Although ovarian enlargement and stromal brightness were not as sensitive as the previous criteria, stromal brightness was most specific. Combining all the criteria predicted a diagnosis of PCOS or control correctly in 86.4% of cases. This study shows that established US criteria of polycystic ovaries remain of value in the diagnosis of PCOS; however, the discrepancy between the left and right ovaries is an interesting hut unexplained finding. (C) 2000 World Federation for Ultrasound in Medicine & Biology.