Three-dimensional transvaginal ultrasonography in the evaluation of diminished ovarian reserve and premature ovarian failure.

Autor: Chen Q; Qian Chen Department of Ultrasound, Tianjin Central Hospital of Gynecology Obstetric, Tianjin 300100, P.R. China., Sun L; Lu Sun Department of Gynecology, Tianjin Central Hospital of Gynecology Obstetric, Tianjin 300100, P.R. China., Huang J; Jian Huang Department of Ultrasound, Tianjin Central Hospital of Gynecology Obstetric, Tianjin 300100, P.R. China., Huang F; Fan Huang Department of Ultrasound, Tianjin Central Hospital of Gynecology Obstetric, Tianjin 300100, P.R. China., Guo S; Shuang Guo Department of Ultrasound, Tianjin Central Hospital of Gynecology Obstetric, Tianjin 300100, P.R. China., Chai Y; Yiqing Chai Department of Ultrasound, Tianjin Central Hospital of Gynecology Obstetric, Tianjin 300100, P.R. China.
Jazyk: angličtina
Zdroj: Pakistan journal of medical sciences [Pak J Med Sci] 2023 May-Jun; Vol. 39 (3), pp. 747-751.
DOI: 10.12669/pjms.39.3.7372
Abstrakt: Objective: To explore the applicability of three-dimensional transvaginal ultrasonography (3D-TVS) in the evaluation of diminished ovarian reserve (DOR) and premature ovarian failure (POF).
Methods: One hundred and twenty female patients, who received 3D-TVS in our hospital from January 2020 to March 2022, were included in the study. Based on sex hormone examination, 25 cases were DOR (DOR-group), 32 cases were POF (POF-group) and 63 cases had normal ovarian function (Normal-group). The 3D-TVS quantitative examination results of the three groups of patients were analyzed and compared.
Results: There was no significant difference between the DOR-group and POF-group regarding antral follicles count (AFC), ovarian volume (OV), vascularization index (VI), vascularization flow index (VFI) and flow index (FI) of left and right ovaries (p>0.05). Compared with the Normal-group, the 3D-TVS examination indexes of the DOR-group and POF-group were significantly lower, and the 3D-TVS examination results of the POF-group were significantly lower than those of the DOR-group (p<0.05). Using sex hormone examination as the gold standard, the diagnostic specificity of 3D-TVS for DOR was 80%, and the sensitivity and accuracy were 90% and 88% respectively; The diagnostic specificity of POF was 87.5%, the sensitivity and accuracy were 95.8% and 93.8% respectively.
Conclusion: 3D-TVS can provide scientific guidance for the clinical diagnosis and evaluation of DOR and POF.
(Copyright: © Pakistan Journal of Medical Sciences.)
Databáze: MEDLINE
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