文章摘要
血清DHEA-S TXNIP AMH联合对PCOS患者的诊断价值
The diagnostic value of combination of serum DHEA-S, TXNIP and AMH for patients with PCOS
投稿时间:2025-03-18  
DOI:10.3969/j.issn.1000-0399.2026.05.013
中文关键词: 脱氢表雄酮硫酸酯  硫氧还蛋白相互作用蛋白  抗苗勒管激素  多囊卵巢综合征  诊断
英文关键词: Dehydroepiandrosterone sulfate  Thioredoxin-interacting protein  Anti-Müllerian hormone  Polycystic ovary syndrome  Diagnosis
基金项目:
作者单位E-mail
庄小平 362000 福建泉州 中国人民解放军联勤保障部队第九一〇医院妇产科  
陈婉红 362000 福建泉州 中国人民解放军联勤保障部队第九一〇医院妇产科  
许珠婷 362000 福建泉州 中国人民解放军联勤保障部队第九一〇医院妇产科  
吕静雯 362000 福建泉州 中国人民解放军联勤保障部队第九一〇医院妇产科  
刘菊莲 362000 福建泉州 中国人民解放军联勤保障部队第九一〇医院妇产科  
肖蓉蓉 362000 福建泉州 中国人民解放军联勤保障部队第九一〇医院妇产科  
石燕梅 362000 福建泉州 中国人民解放军联勤保障部队第九一〇医院妇产科  
董纪秀 362000 福建泉州 中国人民解放军联勤保障部队第九一〇医院妇产科  
胡燕 362000 福建泉州 中国人民解放军联勤保障部队第九一〇医院妇产科 30022344@qq.com 
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中文摘要:
      目的 探究血清脱氢表雄酮硫酸酯(DHEA-S)、硫氧还蛋白相互作用蛋白(TXNIP)、抗苗勒管激素(AMH)联合检测对多囊卵巢综合征(PCOS)的诊断价值。方法 选取2023年1月至2025年1月在中国人民解放军联勤保障部队第九一〇医院就诊的PCOS患者91例作为PCOS组,选择同期体检健康女性91例作为对照组。采用酶联免疫吸附(ELISA)法检测血清DHEA-S、TXNIP、AMH水平,logistic分析影响PCOS的因素;采用受试者工作特征(ROC)曲线探讨血清DHEA-S、TXNIP、AMH对PCOS的诊断价值。结果 PCOS组血清DHEA-S、TXNIP、 AMH水平高于对照组(P<0.05)。血清DHEA-S、TXNIP、AMH是PCOS的影响因素(P<0.05)。血清DHEA-S、TXNIP、AMH 3者联合诊断PCOS的曲线下面积优于血清DHEA-S、TXNIP、AMH单独诊断(Z3者联合-DHEA-S=5.069,P<0.001;Z3者联合-TXNIP=4.236,P<0.001;Z3者联合-AMH=4.521,P<0.001)。结论 PCOS患者血清DHEA-S、TXNIP、AMH高表达,3者联合检测可提高PCOS诊断价值。
英文摘要:
      Objective To explore the diagnostic value of combined detection of serum dehydroepiandrosterone sulfate(DHEA-S), thioredoxin-interacting protein(TXNIP), and anti-Müllerian hormone(AMH) for polycystic ovary syndrome(PCOS). Methods Totally 91 patients with PCOS who visited the 910 th Hospital of the Joint Service Support Force of PLA from January 2023 to January 2025 were selected as the PCOS group, and 91 healthy women who experienced physical check ups were selected as the control group. Enzyme-linked immunosorbent assay(ELISA) was employed to detect the levels of serum DHEA-S, TXNIP and AMH. Logistic analysis was used to investigate the factors influencing PCOS. In addition, receiver operating characteristic(ROC) curve was employed to explore the diagnostic value of serum DHEA-S, TXNIP and AMH for PCOS. Results The levels of serum DHEA-S, TXNIP and AMH in the PCOS group were higher than those in the control group(P<0.05). Serum DHEA-S, TXNIP and AMH were the influencing factors for PCOS(P<0.05). The area under the curve for the combined diagnosis of PCOS using serum DHEA-S, TXNIP, and AMH was superior to that of the individual diagnoses of serum DHEA-S, TXNIP, and AMH(Zcombination-DHEA-S =5.069, P<0.001; Zcombination-TXNIP = 4.236, P<0.001; Zcombination-AMH =4.521, P<0.001). Conclusion The levels of serum DHEA-S, TXNIP and AMH are highly expressed in patients with PCOS. In addition, the combined detection of the three can enhance the diagnostic value for PCOS.
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