利用超声波测定卵巢线性尺寸的年龄比较分析

A. A. Balandin, A. S. Kobeleva, I. A. Balandina
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Women were divided into three groups: the first consisted of 28 adolescents (16 to 20 years old), the second – 29 elderly persons (56 to 74 years old), the third – 27 seniors (75 to 85 years old).Results. When comparing the indicators of ovarian size, their statistically significant decrease by old age was revealed. Right ovary length from adolescence to the old age decreased by 20.56 % (p < 0.01), left – by 28.62 % (p < 0.01). Right ovarian width becomes smaller by 20.87 % (p < 0.01) in elderly age and by 26 % (p < 0.01) in senile age, left – by 20.8 % (p < 0.01) and by 28.32 % (p < 0.01), respectively, the anteroposterior dimension of the right ovary – by 23.2 % (p < 0.01) and by 38.8 % (p < 0.01), of the left ovary – by 31.19 % (p < 0.01) and by 39 % (p < 0.01), respectively.Conclusions. 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摘要

研究的目的是通过超声波检查对青春期、老年和高龄妇女的左右卵巢线性大小进行比较分析。本研究以 2021-2022 年期间在彼尔姆边疆区临床医院妇科接受检查的 84 名骨盆尺寸正常的妇女的超声波检查结果为基础,目的是排除生殖系统的可能病变。通过经阴道入路对卵巢的纵向(长度)、横向(宽度)和前向(厚度)尺寸进行了测量。妇女被分为三组:第一组是 28 名青少年(16 至 20 岁),第二组是 29 名老年人(56 至 74 岁),第三组是 27 名老年人(75 至 85 岁)。在比较卵巢大小的各项指标时发现,卵巢大小在统计意义上随着年龄的增长而显著减少。从青春期到老年期,右侧卵巢长度减少了 20.56 %(p < 0.01),左侧卵巢长度减少了 28.62 %(p < 0.01)。右侧卵巢宽度在老年期变小了 20.87 %(p < 0.01),在老年期变小了 26 %(p < 0.01),左侧卵巢宽度分别变小了 20.8 %(p < 0.01)和 28.32 %(p < 0.01),右侧卵巢的前后尺寸--分别减少23.2 %(p < 0.01)和38.8 %(p < 0.01),左侧卵巢--分别减少31.19 %(p < 0.01)和39 %(p < 0.01)。这些结果使我们能够进一步了解卵巢结构与年龄有关的特征,并继续对其进行详细研究,因为我们需要新的知识来制定现代方法,以预防女性生殖系统病变并及时提供优质医疗服务。
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Comparative analysis of the linear dimensions of the ovary, determined using sonography, in an age aspect
Aim of the study was to carry out a comparative analysis of the linear size of the right and left ovaries, determined using sonography in women in adolescence, the elderly, and old age.Material and methods. The study was based on the results of ultrasound examination of 84 women with normal pelvic dimensions who were examined at the gynecology department of the Perm Krai Clinical Hospital during the period 2021–2022 in order to exclude probable pathology of the reproductive system. Measurement of longitudinal (length), transverse (width), and anteroposterior (thickness) dimensions of the ovary was performed using transvaginal access. Women were divided into three groups: the first consisted of 28 adolescents (16 to 20 years old), the second – 29 elderly persons (56 to 74 years old), the third – 27 seniors (75 to 85 years old).Results. When comparing the indicators of ovarian size, their statistically significant decrease by old age was revealed. Right ovary length from adolescence to the old age decreased by 20.56 % (p < 0.01), left – by 28.62 % (p < 0.01). Right ovarian width becomes smaller by 20.87 % (p < 0.01) in elderly age and by 26 % (p < 0.01) in senile age, left – by 20.8 % (p < 0.01) and by 28.32 % (p < 0.01), respectively, the anteroposterior dimension of the right ovary – by 23.2 % (p < 0.01) and by 38.8 % (p < 0.01), of the left ovary – by 31.19 % (p < 0.01) and by 39 % (p < 0.01), respectively.Conclusions. The results obtained allow us to expand our understanding of the features of the age-related structure of the ovaries and further continue their detailed study, since new knowledge is needed to develop modern methods for the prevention of pathology of the female reproductive system and the timely provision of quality medical care.
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