摘要
多囊卵巢综合征(PCOS)以稀发排卵或无排卵、临床和/或生化的高雄激素血症、卵巢的多囊样改变为特征。PCOS患者多于月经初潮前后出现症状,而正常青春期女孩也会出现月经变化和卵巢的多囊样改变,青春期因为环境改变如体重增加也会发生PCOS,目前国际上尚无青春期PCOS的诊断标准,这使得青春期PCOS的诊断困难,PCOS的结局既有生殖障碍,又有代谢异常,且容易发生糖尿病、心血管疾病、子宫内膜癌等远期并发症。所以早期诊断PCOS,进行相应治疗,可有效预防远期并发症的发生。文章认为应从排卵功能障碍和月经紊乱、临床的高雄激素血症、生化的高雄激素血症、卵巢的多囊样改变、促性腺激素异常、肥胖和代谢障碍、破坏性的睡眠呼吸暂停等方面考虑对PCOS的诊断。
Polycystic ovary syndrome（ PCOS） is characterized as less ovulation or anovulation, clini- cal and/or biochemical hyperandrogenism and polyeystic ovary changes. The symptoms of PCOS happen com- monly around menarche. The healthy gifts in puberty also have menstrual changes and polycystic ovary alter- nations. PCOS may also occur in puberty because of the environmental changes such as body weight gaining. Currently, the diagnostic standard on puberty PCOS has not been issued yet in the woad, which brings the dif- ficulty in the diagnosis. The consequences of PCOS include reproductive disturbance, metabolic abnormality and the long - term complications such as diabetes, cardiovascular diseases and endometrial cancer. There- fore, the early diagnosis of PCOS and treatment can effectively prevent the long - term complications. The pa- per believed that PCOS diagnosis should be considered in terms of ovulatory dysfunction, menstrual disorders, clinical hyperandrogenism, biochemical hyperandrogenism, polycystic ovary changes, gonadotropin abnormali- ty, obesity, metabolic disturbance, destructive sleep apnea, etc.
出处
《世界中西医结合杂志》
2013年第4期410-413,共4页
World Journal of Integrated Traditional and Western Medicine
