Alieva E A, Pshenichnikova T Ia, Gasparov A S, Danchenko O V
Akush Ginekol (Mosk). 1992 Feb(2):61-4.
A total of 202 patients with polycystic ovaries were involved in examination. The study has distinguished the laparoscopic signs of polycystic ovaries: smooth glossy tightly stretched surface of the ovaries with a characteristic vascular pattern or loops; the presence of subcapsular cysts. Ovarian section shows small cysts with transparent or yellowish contents. The histologic signs are thickening of the protein coating, increased count of primary, secondary and cystic atretic follicles (by 2-5 times) and a lowered level of tertiary follicles. Clinical and hormonal signs include disordered rhythm of the menstrual cycle, stable anovulation, a high (over 2) LH/FSH index, an elevated T level. Laparoscopic resection of the ovaries to make their size normal is a method of choice among this technique, standard or wide ovarian biopsy.
共有202例多囊卵巢患者参与了检查。该研究明确了多囊卵巢的腹腔镜检查体征：卵巢表面光滑、有光泽、紧绷，具有特征性的血管纹路或血管环；存在包膜下囊肿。卵巢切片显示有内含透明或淡黄色内容物的小囊肿。组织学体征为蛋白包膜增厚，初级、次级和囊性闭锁卵泡数量增加（增加2至5倍），三级卵泡水平降低。临床和激素体征包括月经周期节律紊乱、持续性无排卵、高促黄体生成素/促卵泡生成素比值（超过2）、睾酮水平升高。在这项技术中，使卵巢大小恢复正常的腹腔镜卵巢切除术是首选方法，标准或广泛的卵巢活检也是如此。
