特发性性早熟女童乳腺高频超声显像特征分析

目的:分析研究乳腺高频超声在特发性性早熟女童诊断中应用的价值,为特发性性早熟女童的临床诊断提供新的思路及理论支持。方法:抽取2014年1月至2015年12月我院接收的51例特发性性早熟女童作为研究组,另选取51例同期体检健康者作为对照组。选用Aloka SSD-3500超声显像仪对两组研究对象进行检查,并对盆腔实施常规超声检测,对比观察两组研究对象乳腺大小及组成、超声参数Logistic回归分析结果和血清雌二醇、促卵泡生长激素和黄体生成素水平。结果:采用独立样本t检验可知,研究组周围腺体回声和乳腺中央低回声区长径与厚度相比差异均有统计学意义(P0.05);两组卵泡直径、卵巢容积、卵巢前后径、卵巢横径、卵巢长径相比差异有统计学意义(P0.05),而宫颈长径、子宫容积、子宫体前后径、子宫体横径、子宫体长径相比差异无统计学意义(P0.05);研究组血清雌二醇、促卵泡生长激素和黄体生成素水平均显著高于对照组,差异均有统计学意义(P0.05)。结论:乳腺高频超声在特发性性早熟女童的临床诊断与鉴别中可发挥重大价值,其中卵泡和卵巢形态学参数诊断具有较大价值,且该检查方式具有无创性,操作简单,安全性较高。

Application value of high frequency ultrasound in diagnosis of girls with idiopathic precocious puberty

Objectives:To study the value of high frequency ultrasound in the diagnosis of idiopathic precocious puberty girls,to provide new ideas and theoretical support for the clinical diagnosis of idiopathic precocious puberty girls.Methods:51 idiopathic precocious girls admitted into our hospital from January 2014 to December 2015 were selected as the study group,and 51 healthy persons were selected as the control group.All the research subjects in the two groups were examined by SSD-3500 Aloka ultrasound imaging instrument,and routine ultrasound examination was carried out on the pelvis.The size and composition of the breast of the two groups,the results of Logistic regression analysis and the level of serum estradiol,follicle stimulating hormone and progesterone were compared between the two groups.Results:According to the independent samples t test,difference in the size and thickness between the gland echoes area and breast central hypoechoic area was statistically significant (P ＜0.05).There were significant differences between the two groups in the diameter of the follicles,the volume of ovary,the diameter of the ovary,the transverse diameter and the length of the ovary (P ＜ 0.05),and there was no significant difference in the length of cervix,uterine volume,the diameter of the front and back of the uterus,the transverse diameter of the uterine body and the length of the uterine body (P ＞ 0.05).The levels of serum estradiol,follicle stimulating hormone and progesterone in the study group were significantly higher than those in the control group,with statistically significant difference (P ＜ 0.05).Conclusion:High frequency ultrasound plays an important role in the diagnosis and differentiation of idiopathic precocious puberty girls,where the diagnosis of follicular and ovarian morphological parameters is of great value.Besides,the examination method is non-invasive,simple operation and of high safety.