The evaluation of ovarian volume in patients with polycystic ovary syndrome

Yıl 2002, Cilt: 33 Sayı: 4, 23 - 27, 01.05.2002

Mehmet Güçlü Semih Tuğrul Gazi Yıldırım Hüseyin Kıyak Nahit Özcan Özay Oral

Öz

Objective: The value of the ultrasonographic evaluation of the ovarian volume on the diagnosis among the polycystic ovary syndrome. Materials and Methods: Eighty patient who admit to infertility and gynecology department of Zeynep Kamil Women's and Children's Teaching Hospital through August 2001 and August 2002, were recruited. The ultrasonographic evaluation were applied to all of the patients. Results: Mean right and left ovarian volume were 11,75 + 5,3 cm3 and 11,16 ± 4,03 cm3 in the Polycystic ovary syndrome. In the control grup that value were 8,33 ±3,7 cm3 for the right and 6,93 ± 2,68 cm3 for the left ovary. The difference among the patient and con-trol groups was significant. (p

Anahtar Kelimeler

Polycystic Ovary Syndrome, Ultrasonography, Diagnostic Techniques, Obstetrical and Gynecological, Ovary

Polikistik sendromlu (PCOS) hastalarda over hacminin değerlendirilmesi

Öz

Amaç: Polikistik Over Sendromlu (PCOS) hastalarda ultrasonografi ile Over hacminin değerlendirilmesi ve tanıdaki yerinin araştırılması. Materyal ve Metod: Çalışmamıza, Zeynep Kamil Kadın ve Çocuk Hastalıkları Eğitim ve Araştırma Hastanesi infertilite ve jinekoloji polikliniklerine Ağustos 2001-Ağustos 2002 tarihleri arasında başvuran 80 hasta dahil edildi. Hastalardan 40'ı PCOS (Polikistik Over Sendromlu), 40'ı kontrol grubu olarak ayrıldı. Tüm hastalara ultrasonografik inceleme yapılarak over hacmi değerlendirildi. Bulgular: Ortalama sağ ve sol over volümü sırasıyla; PCOS'lu grupta 11,75 ± 5,3 ve 11,16 ± 4,03, kontrol grubunda ise 8,33 ± 3,7 ve 6,93 ± 2,68 olarak saptandı. Değerlendirmeye alınan bu parametrelerde iki grup arasında istatistiksel olarak anlamlı bir fark bulundu(p

Anahtar Kelimeler

Polikistik yumurtalık sendromu, Ultrasonografi, Tanı teknikleri, kadın doğum ve kadın hastalıkları, Yumurtalık

Kaynakça

• 1. Pabuçcu R: Polikistik Ovaryan Sendrom, Hiperandrojenizm ve Hirsutizm. Atlas Kitapçılık,Ankara ,2001
• 2. Speroff L, Glass HR, Kase GN: Klinik Jinekolojik Endokrinoloji ve İnfertilite. Nobel Tıp Kitabevleri,5.baskı, 1996
• 3. Poison D W, Adams J, WadsworrthJ and Franks S: Polycystic ovaries-acommon finding in normal women 1988. Lancet I, 870-2
• 4. Zawadzki JK, Dunaif A: Diagnostic criteria for polycystic ovary syndrome: towards a rational approach.In: Dunaif A, Givens JR Hasekine FP, Merriam GR, eds. Polycystic ovary syndrome
• Oxford, England: Blackwell Scientific, 1992:37-8 5. Swanson M., Sauerbrei EE and Cooperberg PL:Medical implications of ultrasonographically detected polycystic ovaries. Journal of Clinical Ultrasound. 1981; 9, 219-22
• 6. Koskinen P, Penttila TA, Anttila L, et al.: Optimal use of hormone determinations in the biochemical diagnosis of the polycystic ovary syndrome. Fertil Steril 1996;65:517-22 7. Homburg R.: Polycystic ovary syndrome-from gynaecological curiosity to multisystem endocrinopathy. Hum Reprod 1996;11:29-39 8. Pan HA, Wu MH, Chengy YC, Li CH, Chang FM: Quantification of Doppler signal in polycystic ovary syndrome using three dimensional power Doppler ultrasonography: a possible new marker for diagnosis. Hum. Reprod. 2001;17:201-206 9. Fauser B.C.J.M. and Van Santbrink E.J.P.: Sonographic characteristics of PCO: Sensitivity and specificity. In The Ovary: Regulation, Dysfunction and Treatment, ed. M. Filicori and C. Fglamigni
• 1996, pp.303-9. Amsterdam: Elsevier science
• 10. Yeh HC, Futterweit W and Thornton JC
• polycystic ovaryan disease: Ultrasonographic fea¬tures in 108 patients. Radiology 1987; 163, 111-116 11 Franks S. The ubiquitous polycystic ovary. Clin. Endocrinol.l991;129,317-319 12. PacheTD, Wladimiroff JW., Hop W.C.J. and Fauser B.C.J.M.. How to discriminate between nor¬mal and polycystic ovaries: trasvaginal US study. Radiology 1992, 183, 421-3