超声在女童性早熟鉴别诊断中的价值.pdf

超声在女童性早熟鉴别诊断中的价值,%,=(安徽省合肥市妇幼保健院超声科,安徽合肥null230061)K1:null)2o*kYNbZEnull5#Li_*,L*#oF2_,40vl,xvl,BMKvxKvx,1_TbTnull*80L(v-o,xaKvx#BMx(v-o(P0.05)bL*80L(v-o(P0.05)bnull2o*kY1Nb1oM:2；o；*；L*UltrasonographyindifferentialdiagnosisofprecociouspubertyingirlsSUORennulljing,MUZhongnullping,YUChunnullyan(DepartmentofUltrasound,HefeiMatermityandChildHealthCareHospital,Hefei,Anhuinull230061)Abstract:AimnullToinvestigatethedifferentialdiagnosticvalueofulrasoundwithprecociouspuberty.MethodsnullTheuterine,ovarianfolnullliclesweremeasuredbyultrasound.Thentheseindexeswerecomparedwiththenormalcontrolgroupsinthesameage.ResultsnullTheunullterineindexesofgirlswithtruenullprecociouspubertyandpseudonullprecociouspubertyweresignificantlylargerthanthenormalgirls(P0.05).Thevolumeofovaryandthelargestfolliclediameter,asectionofthelargestnumberoffollictesintruenullprecociouspubertyarelarnullgerthanthenormalgirls(P0.05).Thevolumeofovaryandthelargestfolliclediameter,asectionofthelargestnumberoffolliclesinpseudonullprecociouspubertyaresimilartothenormalgirls(P0.05).ConclusionnullUltrasonographyhasgreatvalueondifferentialdiagnullnosisofprecociouspubertyingirls.Keywords:ultrasonography；girls；truenullprecociouspuberty；pseudonullprecociouspubertynullnull*B=?s,V=+3l9,32#?(1M-8A41bMh?3qA9,XKnl8=s%hBb*s*aL*s*,W?hy#ZE(is,*SkY112bTF82_,40#x2m+,LvliTs1,)2*kYNb1nullZE1.1nullnull2008M2009M#l60*o,M-18,SC?3b30o,M-18b60*on5#0q2_,GnRHyL#?S_Ts*FL*F,12M,LTb1.2nullZEnullPDCnull62N,jh,hq3.5MHzb_-8a,V0,xVbAUSb8,s/,C0#x2m+b0aza,90,9ZE(nullznull)/2bx#,9x,9ZE(null2)/2bBMKvx#Kvxb1*F,L*FF_Tb1.3nulld9snullPSPSSq),(SVU,t_bHMG150U,23Q,36,M-vV1MbHCG/HMGVrp?03#x；(3)9:31p,V9b1=?bE=#?3b3VEBp,g40mg!d-1,4Vv9F120160mg!d-1,sQg,34M,NVah4,=?5boVI?5nullg!d-1I0.3mg!d-1,g46C|,I?I20d,10d810mg!d-1,iiH4,23M,Klr4=a|；(4)p?,|BpM|5ipL8,Mp3bA?_i0H,|0pFi,i34bID:1null,TI.L=SM.13.:3,2009:1306-9.2nullDodnullaC.HardelinbJP.ClinicalgeneticsofKallmannsyndromeJ.AnnalesdEndocrinologie,2010,71(3):149-57.3null,I+,.Kallmann8J.D0,2010,50(17):108-9.4null,null,fnullj,.Kallmann88(48)J.S3S,2009:23(12):49-52.(l:2010-09-08)!198!安徽医药nullAnhuiMedicalandPharmaceuticalJournalnull2011Feb；15(2)2nullT30*80L#0FA9v,sA,P0.05(m1)bxL#xFA9v,sA,P0.4cm,F9v,sA,P4,FA9(m2)bKvxFA9v,sA,P430L*80L#0FA9v,sA,P0.05bKvx(0.05bBMKvx(0.05(V1,2)bV1null#L*0vlM/cmFYn0:0-00303.80.272.70.323.50.384.20.12L303.20.172.40.153.20.213.50.12301.30.240.80.211.20.391.10.27V2null#L*xvl,x#vlM/cmFYnx:xxKvxKvx302.20.081.10.131.80.2240.80.3L281.00.081.00.90.80.1630.4301.00.20.60.30.80.230.43null)oY8-C?310-,V*3b*9wGnRHG*b/m78F4-?,iO?G,oYn5C?,V(e,?73?,|s9#|3,4bFG,x0sY89v,C4*?bL*9dGnRHG*b=T,324*?,=4*Cbyx?i*CG,xvl#xvlAM,05T79v5bL*kY1G#GnRHyL,ZE1Q,8B&emb2_e,7,TeL+,V480#xvl+,WQGns6b7,x9v*1GbQTV,*8xvlFA9v,x#Kvx(9v,Cx?+b7L*8xvl,x#Kvx(FAs,4Ux?i4-?,9hy+MbQTAU,L*,089v,*A,iHVC8/19v,=LbVn,=92m+,WsA,NL*kYilvbN,2L*82_xhM,VCquL2v,VnAu,mL1R%?,1x%?,?1&=sTP8C*8b9,YV2_V8xvl+,ix#vl,V7WQ8Fs,*kY1ilbID:1nullPaulB,KaplowitzMD,SharonE.ReexaminationoftheagelimitfordefiningwhenpubertyisprecociousingirlsintheUnitedStates:imnullplicationsforevalutionandtreatmentJ.Pediatrics,1990,104(4):936-7.2nullnull,P.2_oY+?w*J.2DSv,2007,27(12):1496-7.3nullfnull.o=?s*J.CLD,2009,21(9):918-9.4nullRZ,y,fnull,.+?*o8bIGFnull1#t_5ilJ.D0,2007,47(10):44-5.5nullnull.o*nhyJ.5D,2005,6:1708.6nullnull.2_oY*NJ.S2,2006,7(10):749-50.7nullKingLR,SiegeIMJ,SobmogAL.Usefulnessofovarianvolumeandcystsinfemaleisosexualprecocbuspu