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| Analysis of the value of transvaginal three-dimensional ultrasound in quantitative assessment of decreased ovarian reserve and premature ovarian failure |
| SUN Ting-ting1 MA Gui-feng2 LI Xiao-mi1 MENG Chun-rong1 WANG Peng1▲ |
1. Department of Ultrasound, Weifang Hospital of Traditional Chinese Medicine, Shandong Province, Weifang 261021,China;
2. Department of Ultrasound, Affiliated Hospital of Weifang Medical University, Shandong Province, Weifang 261021, China |
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Abstract Objective To explore the application value of transvaginal three-dimensional ultrasound quantitative assessment in decreased ovarian reserve (DOR) and premature ovarian failure (POF). Methods From January 2019 to November 2020, 68 patients with suspected DOR admitted to the Department of Ultrasound, Weifang Hospital of Traditional Chinese Medicine were selected as the DOR group, and 70 patients with suspected POF as the POF group. In addition,70 healthy subjects from Weifang Hospital of Traditional Chinese Medicine during the same period were selected as the control group. The three groups all used transvaginal three-dimensional ultrasound examinations, and the sex hormone examination results were used as the gold standard. The antral follicle count (AFC), ovarian vascularization index (VI),ovarian volume (OV), vascularized blood flow index (VFI) and blood flow index (FI) were compared between the left and right ovaries of DOR, POF groups and were compared among the three groups, and the diagnostic accuracy, sensitivity and specificity were analyzed of DOR and POF by transvaginal three-dimensional ultrasound in quantitative assessment. Results There were no significant differences in AFC, VI, OV, VFI or FI of the left and right ovaries between the DOR and POF groups (P＞0.05). The levels of AFC, VI,OV, VFI and FI in the DOR and POF groups were lower than those in the control group, and the differences were statistically significant (P＜0.05). The levels of AFC, VI,OV, VFI and FI in the POF group were lower than those in the DOR group, and the differences were statistically significant (P＜0.05). The diagnostic accuracy, sensitivity and specificity of transvaginal three-dimensional ultrasound for DOR were 92.65%, 94.23%, and 87.50%, respectively. The diagnostic accuracy, sensitivity and specificity of transvaginal three-dimensional ultrasound for POF were 95.71%, 96.23%, and 94.23%, respectively. Conclusion Quantitative assessment of transvaginal three-dimensional ultrasound has important value in the diagnosis of DOR and POF, and it is an effective method for ovarian screening.
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| [1] |
徐子宁，姚洁，廉华，等.经阴道三维能量多普勒超声评估35 岁以内卵巢储备功能下降患者的卵巢血流灌注[J].浙江中西医结合杂志，2018，28（6）：481-484.
|
| [2] |
陈昌钊，吴汤娜，符叶柳，等.女性基础性激素、抗苗勒管激素水平联合经阴道三维超声在卵巢储备功能评估中的作 用[J].中华医学超声杂志（电子 版），2020，17（12）：1208-1212.
|
| [3] |
毛书霞，强也，张玫玫，等.经阴道三维超声评价卵巢储备功能的临床价值[J].山东医药，2016，56（36）：56-58.
|
| [4] |
王小英，丘伟玲，郭小莹，等.三维超声联合女性基础激素测定对不孕患者卵巢储备功能评估[J].黑龙江医药，2019，32（6）：1440-1442.
|
| [5] |
张志峰，刘艳格，武亚丽，等.经阴道三维超声评价未破裂卵泡黄素化综合征患者卵巢储备功能分析[J].河北医科大学学报，2020，41（6）：690-693，699.
|
| [6] |
邵瑾.经阴道三维超声联合抗苗勒氏激素评估卵巢储备功能的价值[J].中国计划生育学杂志，2020，28（10）：1613-1616.
|
| [7] |
陈杰英，李燕平.阴道二维与三维超声对不孕症患者卵巢窦卵泡计数的可靠性及优缺点分析[J].中国实用医药，2019，14（20）：54-55.
|
| [8] |
徐俊，吴隽.经阴道三维超声结合抗苗勒管激素在多囊卵巢综合征卵巢功能评价中的价值分析[J].中国妇幼保健，2019，34（13）：3100-3103.
|
| [9] |
马黛群，叶敏，张莉，等.经阴道三维超声在诊断及治疗卵巢储备功能低下患者中的应用价值[J].医学影像学杂志，2019，29（9）：1530-1534.
|
| [10] |
汪华，汪龙霞，刘伟，等.经阴道三维超声定量评估卵巢储备功能下降及卵巢早衰的价值[J].解放军医学院学报，2017，38（1）：10-13.
|
| [11] |
吴斯瑶，郑晓林，徐秋红，等.经阴道三维超声联合抗苗勒管激素在卵巢储备功能评估中的应用价值[J].中华医学超声杂志（电子版），2019，16（2）：131-137.
|
| [12] |
徐秋红，吴斯瑶，孙国丽，等.经阴道三维超声自动容积测量技术联合抗苗勒管激素对卵巢储备功能的评估价值[J].医学临床研究，2019，36（7）：1340-1342.
|
| [13] |
孙国丽，吴斯瑶，徐秋红.经阴道三维超声技术联合女性基础激素及抗苗勒管激素测定在卵巢储备功能评估中的应用价值[J].中国妇幼保健，2018，33（12）：2827-2830.
|
| [14] |
刘三英，高晓艳，王旭.三维多普勒超声评估卵巢储备降低女性的卵巢功能的价值研究[J].临床和实验医学杂志，2020，19（20）：2234-2238.
|
| [15] |
饶洪杰，张露，柏艳红.经阴道三维容积超声在多囊卵巢综合征中的影像特点及诊断价值评估[J].中国计划生育和妇产科，2019，11（6）：13-16.
|
|
|
|
