el Tabbakh G H, Lotfy I, Azab I, Rahman H A, Southren A L, Aleem F A
Am J Obstet Gynecol. 1986 Apr;154(4):892-5. doi: 10.1016/0002-9378(86)90478-3.
The ovarian ultrasonic appearance in 20 patients with polycystic ovarian disease was studied and correlated to the clinical, hormonal, and laparoscopic findings. Ultrasound studies showed that both ovaries were enlarged in 15 patients (15.46 +/- 2.5 cm3). Maximum ovarian surface area was 9.75 +/- 3.38 cm2. Three ultrasonic patterns were detected: (1) isoechoic, with no discernible cysts (four patients); (2) hypoechoic, with multiple small cysts of less than 1 cm (11 patients); (3) hypoechoic, with single cyst of greater than 1 cm (five patients). Ultrasonic estimation of ovarian size was superior to clinical assessment and equal to that of laparoscopic examination. Subtle differences existed between the ultrasonic appearance of the ovaries in hyperprolactinemic subgroups of polycystic ovarian disease compared to normoprolactinemic ones. However, no significant relationship was found between the ovarian size and any of the hormones studied. Obesity, amenorrhea, hirsutism, hyperprolactinemia, and elevated testosterone and dehydroepiandrosterone sulfate levels were more common in the group with enlarged ovaries, whereas oligomenorrhea, elevated luteinizing hormone/follicle-stimulating hormone ratio, and elevated androstenedione and estrone levels occurred more frequently in the group with normal-sized ovaries. The value of ultrasound studies in the management of polycystic ovarian disease is emphasized.
对20例多囊卵巢疾病患者的卵巢超声表现进行了研究，并将其与临床、激素及腹腔镜检查结果进行了关联分析。超声研究显示，15例患者（15.46±2.5 cm³）双侧卵巢均增大。卵巢最大表面积为9.75±3.38 cm²。检测到三种超声模式：（1）等回声，无可辨认囊肿（4例患者）；（2）低回声，有多个小于1 cm的小囊肿（11例患者）；（3）低回声，有一个大于1 cm的单个囊肿（5例患者）。超声对卵巢大小的估计优于临床评估，且与腹腔镜检查相当。多囊卵巢疾病高催乳素血症亚组的卵巢超声表现与正常催乳素血症亚组之间存在细微差异。然而，未发现卵巢大小与所研究的任何激素之间存在显著关系。肥胖、闭经、多毛、高催乳素血症以及睾酮和硫酸脱氢表雄酮水平升高在卵巢增大组更为常见，而月经过少、黄体生成素/卵泡刺激素比值升高以及雄烯二酮和雌酮水平升高在卵巢大小正常组更为频繁出现。强调了超声研究在多囊卵巢疾病管理中的价值。
