|
|
|
| The Clinical Value of Pelvic Ultrasound in the Diagnosis of Idiopathic Central Precocious Puberty Girls |
| YAO Huaiqi, et al |
| The First Affiliated Hospital of Medical College of Shantou University, Guangdong Shantou 515041, China |
|
|
|
|
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.
|
|
|
|
|
|
[1] 覃慧利.盆腔超声对女童中枢性性早熟的诊断价值[J].影像研究与医学应用,2018,2(1):110~111.
[2] 张征海,李晓明,黄敏聪.盆腔超声在GnRHa治疗女童特发性中枢性性早熟中的临床应用[J].浙江临床医学,2017,19(8):1525~1526.
[3] Prevalence of vitamin D deficiency in girls with idiopathic central precocious puberty[J].医学前沿:英文版,2018,12(2): 174~181.
[4] 李素敏.乳腺超声在女童特发性性早熟诊断中的应用价值[J].内蒙古医学杂志,2018,50(7):75~76.
[5] 王昭冉,刘戈力,杨箐岩,等.促性腺激素及盆腔超声在中枢性性早熟女童诊断中的价值[J].天津医科大学学报,2018,24(1):32~35.
[6] 唐大川,罗鸿昌.盆腔超声对女童中枢性性早熟的诊断价值[J].临床超声医学杂志,2017,19(2):105~108.
[7] 刘桂香,徐丽娥,李杰基,等.超声检查中枢性性早熟女童的临床分析[J].现代医用影像学,2019,28(9):2093~2094.
[8] 刘艳莎,赵晓宁,王萤萤,等.特发性腹膜后纤维化的超声诊断价值[J].中国超声医学杂志,2018,34(12):1105~1107.
[9] 韦金虎.CA125、HE4联合超声检查在卵巢肿瘤中的应用价值[J].检验医学与临床,2019,16(12):1715~1717. |
|
|
|
2021, Vol. 27 
