Ersen Atilla, Onal Hasan, Yildirim Düzgün, Adal Erdal
Department of Pediatrics, Kasimpasa Military Hospital, Istanbul, Turkey.
J Pediatr Endocrinol Metab. 2012;25(5-6):447-51. doi: 10.1515/jpem-2012-0014.
To investigate uterine and ovarian ultrasonography in healthy girls and establish reliable cut-off limits in the Turkish population.
The study was performed on 90 girls between 6 and 16 years of age with bone age, hormonal evaluation and pelvic ultrasounds. Total uterine length (TUL), anteroposterior diameters of corpus (COAP), anteroposterior diameters of cervix (CEAP), fundus/cervix ratio (F/C), uterine volume (UV), ovarian volume (OV) and morphology were obtained. The data were stratified according to various pubertal stages and ages.
Age-related increases of pelvic organs were noted after 10-10.9 years. Significant correlation was detectable between age and OV, TUL and UV in pubertal girls, but age only correlated with OV in prepubertal girls. A cut-off value of 4 cm for TUL, 2.57 cm(3) for UV and 1.58 cm(3) for OV were the best discrimination values for entering puberty.
The data herein may be useful in screening cases around puberty when continuous changes take place.
研究健康女孩的子宫和卵巢超声检查情况，并在土耳其人群中建立可靠的临界值。
对90名6至16岁的女孩进行了研究，包括骨龄、激素评估和盆腔超声检查。测量了子宫总长度（TUL）、子宫体前后径（COAP）、子宫颈前后径（CEAP）、宫底/宫颈比值（F/C）、子宫体积（UV）、卵巢体积（OV）及形态。数据根据不同的青春期阶段和年龄进行分层。
10至10.9岁后观察到盆腔器官随年龄增长。青春期女孩的年龄与OV、TUL和UV之间存在显著相关性，但青春期前女孩的年龄仅与OV相关。TUL的临界值为4 cm，UV为2.57 cm³，OV为1.58 cm³是进入青春期的最佳判别值。
本文数据可能有助于筛查青春期前后发生持续变化的病例。
