本文選題：卵巢 + 卵泡　； 參考：《放射學(xué)實(shí)踐》2017年05期

【摘要】：目的:對比MRI與超聲研究育齡期女性卵巢形態(tài)、卵泡數(shù)目隨月經(jīng)周期變化的規(guī)律,比較兩種方法對卵巢徑線測量及卵泡計(jì)數(shù)的差異,為健康育齡期女性在月經(jīng)不同期別的卵巢徑線、體積、卵泡數(shù)目等提供參考值。方法:26例志愿者分別于月經(jīng)期、卵泡期、圍排卵期、黃體期行盆腔MRI掃描及超聲檢查。記錄MRI與超聲測量的卵巢體積、卵泡個數(shù)、最大及次大卵泡直徑在不同月經(jīng)周期中的數(shù)據(jù),并進(jìn)行統(tǒng)計(jì)學(xué)分析。結(jié)果:MRI測量的雙側(cè)卵巢左右徑(左側(cè)P值=0.003,右側(cè)P值=0.000)、前后徑(左側(cè)P值=0.000,右側(cè)P值=0.000)、體積(左側(cè)P值=0.000,右側(cè)P值=0.000)、總卵泡數(shù)(左側(cè)P值=0.003,右側(cè)P值=0.000)及右卵巢長徑(P=0.000)大于超聲測量值,左卵巢長徑測量值小于超聲測量值(P=0.000)。MRI及超聲均發(fā)現(xiàn)左、右最大卵泡、總最大卵泡直徑隨月經(jīng)周期而變化,圍排卵期最大卵泡直徑最大,MRI測量值為月經(jīng)期(0.90±0.28)cm,卵泡期(1.24±0.31)cm,圍排卵期(1.71±0.54)cm,黃體期(1.20±0.66)cm;超聲測量值為月經(jīng)期(1.01±0.40)cm,卵泡期(1.26±0.46)cm,圍排卵期(1.47±0.47)cm,黃體期(0.89±0.37)cm。兩種檢查方法均顯示雙側(cè)卵巢體積在月經(jīng)周期內(nèi)變化不明顯。結(jié)論:MRI測量的卵巢徑線、體積大于超聲測量結(jié)果,卵泡計(jì)數(shù)MRI顯著多于超聲,MRI與超聲在卵巢及卵泡解剖結(jié)構(gòu)定量測量中有顯著差異。超聲及MRI均可發(fā)現(xiàn)左、右側(cè)最大卵泡直徑隨月經(jīng)周期而變化。
[Abstract]:Objective: to compare the changes of ovarian morphology and follicle number with menstrual cycle in women of childbearing age by MRI and ultrasound, and to compare the difference of ovarian diameters and follicle count between the two methods. To provide reference value for healthy women of reproductive age in different periods of menstruation, such as ovarian diameter, volume, follicle number and so on. Methods pelvic MRI scan and ultrasonography were performed in 26 volunteers at menstrual, follicular, periovulation and luteal stages. The data of ovarian volume, number of follicles and the diameter of the largest and second largest follicles in different menstrual cycles were recorded and analyzed statistically by MRI and ultrasound. Results the bilateral ovarian diameter (left P value 0.003, right side P value 0.000), anteroposterior diameter (left P value 0.000, right P value 0.000), volume (left P value 0.000, right P value 0.000), total follicle number (left P value 0.003, right side P value 0.000) and right ovary were measured by Mr imaging. P0. 000) is larger than the value measured by ultrasound. The measured values of left ovarian length and diameter were smaller than those measured by ultrasound. MRI and ultrasound showed that left and right largest follicles, and the total maximum follicle diameter varied with menstrual cycle. The maximum follicle diameter measured by MRI in peri-ovulation period was 0.90 鹵0.28 cm in menstrual period, 1.24 鹵0.31 cm in follicular phase, 1.71 鹵0.54 cm in periovulatory phase, 1.20 鹵0.66 cm in luteal phase, and 1.01 鹵0.40 cm in menstrual period, 1.26 鹵0.46 cm in follicular phase, 1.47 鹵0.47 cm in perifollicular phase, 0.89 鹵0.37 cm in luteal phase. Both methods showed no significant changes in bilateral ovarian volume during menstrual cycle. Conclusion the volume of ovarian diameter measured by Mr imaging is larger than that of ultrasound, and the follicle count MRI is much more than that of ultrasound MRI and ultrasound in the quantitative measurement of ovarian and follicle anatomical structure. Ultrasound and MRI showed that the diameter of left and right largest follicles varied with the menstrual cycle.
【作者單位】： 北京協(xié)和醫(yī)院放射科;北京協(xié)和醫(yī)院超聲科;中日友好醫(yī)院放射科;
【基金】：衛(wèi)生公益性行業(yè)科研專項(xiàng)項(xiàng)目(201402019)
【分類號】：R445;R711

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