ISSN 1674-3865  CN 21-1569/R
主管：国家卫生健康委员会
主办：中国医师协会
　　　辽宁省基础医学研究所
　　　辽宁中医药大学附属医院
中国中西医结合儿科学

中国中西医结合儿科学 ›› 2020, Vol. 12 ›› Issue (5): 430-433.doi: 10.3969/j.issn.4-3865.2020.05.017

• 临床研究 • 上一篇    下一篇

超声检查对女童特发性性早熟早期诊断的临床价值

周美侠，周浩   

  1. 110000沈阳，沈阳市妇幼保健院超声科（周美侠）；110032沈阳，辽宁中医药大学附属医院慢病综合科（周浩）
  • 出版日期:2020-10-25 发布日期:2020-11-28
  • 通讯作者: 周浩，E-mail：1062161824@qq.com
  • 作者简介:周美侠（1982-），女，吉林大学基础医学院2018级硕士研究生在读，主治医师。研究方向：妇产科超声检查及小儿髋关节、腹部常见病超声检查

Clinical value of ultrasonography in the early diagnosis of idiopathic precocious puberty in girls

  • Online:2020-10-25 Published:2020-11-28

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摘要： 目的 探讨超声检查对女童特发性性早熟早期诊断的临床价值。
方法 选择2018年3月至2019年10月本院收治的疑似特发性中枢性性早熟女童57例为观察组，同期选取同年龄段体检健康的女童57例为对照组。两组均给予乳腺和盆腔高频超声检查与相关激素水平检查。
结果 （1）乳腺高频超声检查：观察组在周围腺体回声区与乳腺中央低回声区的长径与厚度方面均要高于对照组，差异有统计学意义（P<0.05）。（2）盆腔高频超声检查：观察组在卵巢容积、卵巢前后径、卵巢横径、卵巢长径、卵泡直径均高于对照组，差异有统计学意义（P<0.05）。（3）相关激素水平：观察组雌二醇、促卵泡生成素、促黄体生成素水平均高于对照组，差异有统计学意义（P<0.05）。
结论 利用彩色多普勒超声对特发性中枢性性早熟女童的诊断有较高的临床应用价值，诊断标准明确，技术相对成熟和稳定。

关键词: 特发性性早熟, 早期诊断, 超声检查, 女童

Abstract: Objective  To explore the clinical value of ultrasonography in the early diagnosis of idiopathic precocious puberty in girls.
Methods  Fiftyseven girls suspected with idiopathic central precocious puberty admitted to our hospital from March 2018 to October 2019 were selected as the observation group, and 57 healthy girls at the same age range were selected as the control group. Both groups were given breast and pelvic highfrequency ultrasonography and relevant hormone level examination.
Results (1) Breast highfrequency ultrasonography showed: the length and thickness of the observation group in the peripheral gland echo area and the central hypoecho area of the breast were higher than those of the control group, and the difference was statistically significant (P＜0.05). (2) Pelvic highfrequency ultrasonography showed: the observation group was higher in ovarian volume, anterior and posterior diameter of the ovary, transverse diameter of the ovary, long diameter of the ovary, and follicle diameter than the control group, and the difference was statistically significant (P＜0.05). (3) Examination of relevant hormone levels showed: the levels of estradiol, follicle stimulating hormone, and luteinizing hormone in the observation group were higher than those in the control group, and the difference was statistically significant (P＜0.05). Conclusion  Color Doppler ultrasonography has high clinical application value in the diagnosis of girls with idiopathic central precocious puberty, with clear diagnostic criteria and relatively mature and stable technology.

Key words: Idiopathic precocious puberty, Early diagnosis, Ultrasonography, Girl