中国实用妇科与产科杂志

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多囊卵巢综合征患者高雄激素血症的诊治

林金芳   

  1. 作者单位:复旦大学附属妇产科医院,上海 200011
  • 出版日期:2013-11-02 发布日期:2013-10-22

  • Online:2013-11-02 Published:2013-10-22

摘要:

多囊卵巢综合征(PCOS)高雄激素血症(高雄)临床特点是血清具生物学活性的雄激素水平超过正常值水平,并可具有痤疮、多毛、脂溢性皮炎、脱发等高雄的临床体征。病因主要是由于黄体生成激素(LH)分泌亢进及(或)胰岛素抵抗所致的高胰岛素血症。诊断可根据临床症状和血清学检测,须与其他引起高雄的内分泌疾病相鉴别。治疗应根据引起高雄的激素原因及治疗要求选择药物。

关键词: 多囊卵巢综合征, 高雄激素血症, 诊断与鉴别诊断, 降雄治疗

Abstract:

Abstract:The clinical features of hyperandrogenism (HA) in PCOS include elevated serum bioactive androgen level, and some HA signs, such as acne,hirsutism,Seborrhoeic dermatitis,alopecia, etc. HA of PCOS mainly due to the accentuated secretion of pituitary LH / hyperinsulinism caused by IR. The diagnosis of PCOS HA depends on clinical symptoms/signs and serum detection, meanwhile other diseases with HA should be excluded. The selection of drug should be based on hormonal cause of HA and patients’ therapeutic needs.

Key words: PCOS, hyperandrogenism, diagnosis and differentiation, anti-androgen

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