Hámori M, Urbancsek J, Szendei G, Német J
1st Department of Gynaecology, Semmelweis University Medical School, Budapest, Hungary.
Acta Chir Hung. 1988;29(1):27-34.
Repeated ultrasound imaging was performed in 23 cases of polycystic ovary syndrome (PCO). Diagnosis was established on the basis of the clinical picture, the endocrine parameters and on that of ultrasonographic findings. Almost all patients presented with oligomenorrhoea and also hirsutism, and obesity appeared in more than half of the cases. The hormonal picture was characterized by elevated LH and testosterone, by a higher than the upper limit of the normal range of oestradiol and low progesterone levels. In 18 cases, ultrasonography documented enlarged bilateral ovaries containing several small cysts. Repeated examinations proved the permanent absence of follicular maturation and ovulation. In additional five patients, the size of ovaries was slightly larger than normal with no microcystic change being present. According to the authors, ultrasonography is particularly useful in the noninvasive diagnostics of PCO syndrome, in judging better the borderline cases and in adjusting the ovulation induction therapy. If a combined chemotherapy administered in a gradually increasing dose keeps on being ineffective in eliminating chronic anovulation, the only possible procedure is surgical solution, that is bilateral wedge resection of the ovaries.
对23例多囊卵巢综合征（PCO）患者进行了重复超声成像检查。诊断基于临床表现、内分泌参数以及超声检查结果。几乎所有患者都表现为月经过少，同时伴有多毛症，超过半数的病例出现肥胖。激素水平表现为促黄体生成素（LH）和睾酮升高，雌二醇高于正常范围上限且孕酮水平低。18例患者经超声检查显示双侧卵巢增大，内有多个小囊肿。重复检查证实始终没有卵泡成熟和排卵现象。另外5例患者卵巢大小略大于正常，无微囊性改变。据作者称，超声检查在PCO综合征的无创诊断、更好地判断临界病例以及调整促排卵治疗方面特别有用。如果逐渐增加剂量的联合化疗持续无法消除慢性无排卵，唯一可行的方法就是手术治疗，即双侧卵巢楔形切除术。
