【摘要】 目的 通过对上海地区健康育龄妇女的多囊卵巢(PCO)发生情况的分析，研究卵巢多囊性改变的妇女的临床与内分泌特征。 方法 经超声检测将298例受试者分为卵巢多囊性改变组(PCO组)50例与正常卵巢组(正常组)248例，分别测定并分析其卵巢的超声参数、内分泌参数及临床资料。 结果 (1)健康妇女的PCO发生率为16.8%(50/298)，其中≤35岁组为22.8%，>35岁组为9.1%。(2)与正常卵巢妇女组相比，PCO组的血清睾酮(T)及LH/FSH比值明显增高(P<0.05)。不规则月经周期及受孕问题明显增多(P<0.01)。(3)二组肥胖发生率、卵巢体积和卵巢最大面积差异无显著性(P>0.05)。 结论 (1)健康育龄妇女中可有一定的PCO发生率(16.8%)。(2)卵巢多囊性改变组妇女的激素变化有趋向于PCOS特征。(3)经阴道超声比经腹部超声PCO诊断率高(16.8%:12.9%)。

    【关键词】 多囊卵巢 超声

    The prevalence of polycystic ovaries in healthy women of reproductive in Shanghai

    Gu Lijun，Cai Renfei，Kang Jian，et al.

    Department of Obstetrics and Gynecology，Shanghai9th Hospital，Shanghai Second Medical University，Shanghai200011.

    【Abstract】 Objective To study the prevalence of polycystic ovaries(PCO)in healthy women of reproductive age in Shanghai and those women's hormonal and clinical charactcristics.Methods A total of298healthy volunteers were divided into two groups according to ultrasound examination:50polycystic ovaries(PCO group)and248normal o-varies(normal group).The two group's ultrasound parameters of ovarian and serum levels of endocrine were measured and analyzed.Results (1)The prevalence of PCO in the entire study population was16.8%(50/298) ......