妊娠期糖尿病女性的多囊卵巢
Polycystic ovaries in women with gestational diabetes.
作者信息
Anttila L, Karjala K, Penttilä R A, Ruutiainen K, Ekblad U
机构信息
Department of Obstetrics and Gynecology, Turku University Central Hospital, Finland.
出版信息
Obstet Gynecol. 1998 Jul;92(1):13-6. doi: 10.1016/s0029-7844(98)00133-1.
OBJECTIVE
To examine the occurrence of polycystic ovaries (PCO) in women with gestational diabetes mellitus (GDM).
METHODS
This was a retrospective comparative study of ultrasonographic findings of ovaries in 31 women with GDM and 30 healthy controls matched according to maternal age and body mass index (BMI). Women who presented evidence of impaired glucose tolerance during pregnancy were excluded from the control group. Transvaginal ultrasonographic examination was performed during the follicular phase of the menstrual cycle, after breast-feeding had been discontinued.
RESULTS
Polycystic ovary was a more frequent finding among women with GDM than among controls: 14 women with GDM (44%) and two controls exhibited PCO. No differences were found in BMI before pregnancy or in the weight gain during pregnancy between the groups. No difference was observed in the mean birth weight of the infants between the study groups.
CONCLUSION
Polycystic ovaries were a common finding among women with GDM. The data suggest that women with PCO are at risk for developing GDM and should be screened accordingly.
目的
研究妊娠期糖尿病（GDM）女性中多囊卵巢（PCO）的发生率。
方法
这是一项回顾性对照研究，对31例GDM女性和30例根据产妇年龄和体重指数（BMI）匹配的健康对照者的卵巢超声检查结果进行比较。孕期出现糖耐量受损证据的女性被排除在对照组之外。在月经周期的卵泡期、停止母乳喂养后进行经阴道超声检查。
结果
GDM女性中多囊卵巢的发现比对照组更常见：14例GDM女性（44%）和2例对照者表现为PCO。两组之间孕前BMI或孕期体重增加无差异。研究组间婴儿的平均出生体重无差异。
结论
多囊卵巢在GDM女性中很常见。数据表明，PCO女性有发生GDM的风险，应相应地进行筛查。
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