Skampardonis N, Kouskoukis A, Karpouzis A, Maroulis G
Department of Obstetrics and Gynecology, Democritus University of Thrace, Aleksandroupolis, Greece.
Clin Exp Obstet Gynecol. 2011;38(2):168-71.
PCOS represents the commonest endocrinopathy among women of reproductive age. We conducted this study to evaluate the association between polycystic ovaries and clinical and biochemical features of the syndrome. TVS was performed in 74 women with the clinical diagnosis of PCOS. The findings were compared to biochemical, hormonal and clinical features of the syndrome. Statistical analysis revealed a significantly higher prevalence of acne, LH/FSH ratios and testosterone levels in women with PCO compared to those with normal ovarian morphology. In the subgroup analysis, total ovarian volume correlated significantly with hirsutism scores. Our study revealed a great prevalence of polycystic ovaries in Greek women with PCOS, and emphasizes the significance of transvaginal ultrasound in establishment of the diagnosis of the syndrome. The presence of PCO may not be clinically important when present alone without clinical manifestations but reflects the underlying hyperandrogenemia in PCOS women, representing a useful tool in the management of these patients.
多囊卵巢综合征（PCOS）是育龄女性中最常见的内分泌疾病。我们开展这项研究以评估多囊卵巢与该综合征临床及生化特征之间的关联。对74例临床诊断为PCOS的女性进行了经阴道超声检查（TVS）。将检查结果与该综合征的生化、激素及临床特征进行比较。统计分析显示，与卵巢形态正常的女性相比，患有多囊卵巢（PCO）的女性痤疮、促黄体生成素/促卵泡生成素（LH/FSH）比值及睾酮水平的患病率显著更高。在亚组分析中，卵巢总体积与多毛症评分显著相关。我们的研究揭示了希腊PCOS女性中多囊卵巢的高患病率，并强调了经阴道超声在该综合征诊断确立中的重要性。PCO单独存在而无临床表现时在临床上可能并不重要，但反映了PCOS女性潜在的高雄激素血症，是管理这些患者的有用工具。
