Abstract：Objective: To explore the clinical value of pelvic ultrasound in the diagnosis of idiopathic central precocious puberty (ICPP) girls.Methods: A retrospective analysis was conducted with the clinical data of 20 cases of ICPP diagnosed by pelvic ultrasound in the First Affiliated Hospital and Shantou Chaonan Minsheng Hospital from January 2019 to January 2020 . 27 cases of normal precocious puberty diagnosed clinically and laboratorily were enrolled as controls. The girl underwent a pelvic ultrasound examination to check the upper and lower diameters, anteroposterior diameter, left and right diameters, volume of the uterus, left and right ovarian size, volume, and maximum follicle diameter exceeding 4mm. Correlation analysis of pelvic ultrasound measurement data and diagnosis of its work was carried out using ROC curve. For efficiency, the area under the curve was calculated. Result: Using the Mann-Whitney U method to analyze, the values of the uterus and left and right ovaries of the true precocious puberty group and the normal group are higher than the latter; the correlation analysis results show that the pelvic ultrasound measurement results of the left and right ovaries and uterus have positive correlation. The AUCs of the effectiveness of pelvic acoustic detection of the uterus (upper and lower diameter, anterior and posterior diameter, left and right diameter, volume) are 0.985, 0.822, 0.967, 0.831, and the sensitivity data are 95%, 80%, 90%, 85%, specificity data are 92.6%, 77.8%, 100%, 70.4%;The AUCs of the left ovary (upper and lower diameter, left and right diameter, anteroposterior diameter, volume) of patients detected by pelvic ultrasound are 0.976, 0.805, 0.946, 0.784, and the sensitivity data are 95%, 75%, 85%, 50%, the specificity data are 100%, 74.1%, 85.2%, 100%; the AUCs of the right ovary (upper and lower diameter, anteroposterior diameter, left and right diameter, volume) of patients detected by pelvic ultrasound are 0.991, 0.839 , 0.983, 0.828, the sensitivity data are 90%, 75%, 95%, 60%, and the specificity data are 100%, 77.8%, 88.9%, 96.3%, and the differences between groups are statistically significant (P<0.05) . Conclusion: The effectiveness of pelvic ultrasound in diagnosing ICPP girls is high, which is worthy of reference for clinical practice.
姚怀齐, 姚凡, 吴文慧, 栗丽. 盆腔超声在特发性中枢性性早熟女童诊断中的临床应用价值[J]. 河北医学, 2021, 27(4): 614-620.
YAO Huaiqi, et al. The Clinical Value of Pelvic Ultrasound in the Diagnosis of Idiopathic Central Precocious Puberty Girls. HeBei Med, 2021, 27(4): 614-620.
2021, Vol. 27 
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