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目的：明确是否卵巢呈多囊性改变患者阴道超声检查卵巢的变化与临床、内分泌之间具有相关性。方法：对８６例月经稀发和闭经、阴道超声下卵巢呈多囊改变患者进行了观察，放免法测定了血清中黄体生成素、卵泡刺激素、泌乳素、睾酮，估计了体重指数、多毛情况。部分患者做了糖耐量及胰岛素释放试验。对卵巢的体积、卵泡数与黄体生成素、睾酮、体重指数、多毛程度及胰岛素拮抗指数的相关性做了分析。结果：卵泡数和卵巢体积与睾酮和黄体生成素的水平均有明显的正相关性，Ｔ比ＬＨ相关性更明显，与多毛程度也具有正相关性。胰岛素拮抗程度除与卵巢体积的大小和卵泡数有明显的相关性外，与Ｔ的水平也具有正相关性。结论：阴道超声观察卵巢体积和卵泡数有助于对多囊卵巢综合征的诊断。
Objective: To determine whether ovarian polycystic changes in patients with vaginal ultrasound examination of ovarian changes and clinical, endocrine has a correlation. Methods: Eighty - six cases of oligomenorrhea and amenorrhea, vaginal ultrasound were observed in patients with polycystic ovary changes were detected by radioimmunoassay of serum luteinizing hormone, follicle stimulating hormone, prolactin, testosterone, estimated body mass index, hirsutism . Some patients did glucose tolerance and insulin release test. The ovarian volume, number of follicles and luteinizing hormone, testosterone, body mass index, degree of hairiness and insulin resistance index were analyzed. RESULTS: The number of follicles and the volume of ovary were significantly positively correlated with the levels of testosterone and luteinizing hormone. The correlation between T and LH was more significant, and it also had a positive correlation with the degree of hairiness. In addition to the degree of insulin resistance and ovarian size and the number of follicles have a significant correlation, and the level of T also has a positive correlation. Conclusion: Vaginal ultrasound observation of ovarian volume and follicle count is helpful for the diagnosis of PCOS.