妇科超声检查在评估女童和青少年青春期发育中的作用

IF 1.1 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

RADIOLOGIA Pub Date : 2025-03-01 DOI:10.1016/j.rx.2023.08.003

G. Rahman , M.A. Urrutia , M.I. Salaberry , P. Risso , D.C. Ocampo , V.G. Gonzalez , A.V. Rubinstein

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引用次数: 0

摘要

简介与目的经腹超声检查（US）是儿童骨盆检查的首选技术。有关美国调查结果的研究结果显示了很大的差异。本研究的目的是：估计子宫和卵巢超声测量（纵向直径和体积）与实足年龄（CA）、乳房Tanner分期（TS）和妇科年龄（GA）之间的相关性；根据不同的青春期阶段评价患者卵泡的存在和大小；并测定青春期前和青春期女孩的子宫内膜长度。材料与方法：2010年至2019年间进行的一项中心、观察、回顾性、分析性研究。对在放射科就诊的8.0 ~ 16.0岁健康女童进行评价。评估乳房TS并确定妇科年龄。超声检查由儿科诊断放射专家进行。测量子宫长度（UL）和卵巢长度（OL）；计算子宫和卵巢体积（UV和OV）。测量最大卵泡直径和子宫内膜厚度。结果共分析292例患者，平均年龄12.5岁（SD: 2.1）。子宫和卵巢测量值与CA、TS和GA之间存在显著相关性(P <；。)。UL和UV的显著增加被描述为CA间隔的增加，卵巢测量也是如此。在TS I和TS II之间没有观察到显著的测量差异。在月经初潮时明显增加。30.9%的青春期患者和11.8%的青春期前患者出现卵巢卵泡。88.24%的青春期前人群子宫内膜未检出，而TS IV和TS v患者子宫内膜均可检出。结论子宫内膜和卵巢测量随CA和ET升高（ET I和ET II除外），以月经初潮时增加最多。卵巢卵泡和子宫内膜厚度小于或等于1毫米，在青春期前的患者。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Rol de la ecografía ginecológica en la evaluación del desarrollo puberal en niñas y adolescentes

Introduction and objectives

Transabdominal ultrasonography (US) is the technique of choice for pelvis evaluation in pediatric population. The results of studies regarding US findings show a wide variation. The objectives of our study were: to estimate and correlate uterine and ovarian ultrasound measures (longitudinal diameter and volume) with chronological age (CA), breast Tanner stage (TS) and gynecological age (GA); to evaluate presence and size of follicles in patients according to their pubertal stage; and to determine the endometrial length in prepubertal and pubertal girls.

Material and methods

Unicentric, observational, retrospective, analytical study, conducted between 2010 and 2019. Healthy girls between 8.0 and 16.0 years, attended in the department of radiology were evaluated. Breast TS was evaluated and gynecological age was determined. Ultrasounds were performed by a pediatric diagnostic radiospecialist. Uterus length (UL) and ovarian length (OL) were measured; uterus and ovarian volume were calculated (UV and OV). Diameter of the largest follicle and endometrial thickness were measured.

Results

292 patients were analyzed, mean age was 12.5 years (SD: 2.1). A significant correlation was observed between uterine and ovarian measurements with CA, TS and GA (P < .0001). A significant increase in UL and UV is described as the CA intervals increase, also in ovarian measurements. No significant differences in measurements were observed between TS I and II. An increase was evidenced at menarche. In 30.9% of pubertal patients and 11.8% of prepubertal patients showed ovarian follicles. The endometrium was not measurable in 88.24% of the pre-pubertal population and was always measurable in patients with TS IV and V.

Conclusions

Uterine and ovarian measurements increased with CA and ET (except ET I and II). The greatest increase occurred with menarche. Ovarian follicles and endometrium thickness less than or equal to 1 mm were presented in prepubertal patients.

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来源期刊

RADIOLOGIA RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING-

CiteScore

1.60

自引率

7.70%

发文量

105

审稿时长

52 days

期刊介绍： La mejor revista para conocer de primera mano los originales más relevantes en la especialidad y las revisiones, casos y notas clínicas de mayor interés profesional. Además es la Publicación Oficial de la Sociedad Española de Radiología Médica.