国际生殖健康计划生育杂志
國際生殖健康計劃生育雜誌
국제생식건강계화생육잡지
Journal of International Reproductive Health/Family Planning
2013年
5期
349-351
,共3页
胡琳莉(综述)%孙莹璞(审校)
鬍琳莉(綜述)%孫瑩璞(審校)
호림리(종술)%손형박(심교)
闭经%月经稀发%多囊卵巢综合征%卵巢功能早衰%垂体肿瘤%高催乳素血症%腺瘤
閉經%月經稀髮%多囊卵巢綜閤徵%卵巢功能早衰%垂體腫瘤%高催乳素血癥%腺瘤
폐경%월경희발%다낭란소종합정%란소공능조쇠%수체종류%고최유소혈증%선류
Amenorrhea%Oligomenorrhea%Polycystic ovary syndrome%Ovarian failure,premature%Pituitary neoplasms%Hyperprolactinemia%Adenoma
女性正常月经依赖于下丘脑、垂体和卵巢及其激素诱导的子宫内膜之间的相互协调作用，其中任何一个方面出现功能障碍都可能导致闭经，影响生育。引起闭经的病因众多，明确诊断闭经的病因是治疗的关键。病史、体格检查、内分泌功能检查和辅助检查相结合可对闭经进行全面诊断。临床上最常见的闭经病因为下丘脑病变、多囊卵巢综合征、高催乳素血症和卵巢衰竭，综述临床常见闭经病因的诊断进展。
女性正常月經依賴于下丘腦、垂體和卵巢及其激素誘導的子宮內膜之間的相互協調作用，其中任何一箇方麵齣現功能障礙都可能導緻閉經，影響生育。引起閉經的病因衆多，明確診斷閉經的病因是治療的關鍵。病史、體格檢查、內分泌功能檢查和輔助檢查相結閤可對閉經進行全麵診斷。臨床上最常見的閉經病因為下丘腦病變、多囊卵巢綜閤徵、高催乳素血癥和卵巢衰竭，綜述臨床常見閉經病因的診斷進展。
녀성정상월경의뢰우하구뇌、수체화란소급기격소유도적자궁내막지간적상호협조작용，기중임하일개방면출현공능장애도가능도치폐경，영향생육。인기폐경적병인음다，명학진단폐경적병인시치료적관건。병사、체격검사、내분비공능검사화보조검사상결합가대폐경진행전면진단。림상상최상견적폐경병인위하구뇌병변、다낭란소종합정、고최유소혈증화란소쇠갈，종술림상상견폐경병인적진단진전。
The normal menstruation depends on the intercoordination between the hypothalamus-pituitary- ovary system and the endometrium induced by ovarian hormone. Dysfunction of any aspect will result in amenorrhea,and then affect fertility. There are many causes of amenorrhea. The key of successful treatment is the clarified diagnosis. The overall diagnosis of amenorrhea should combine history,physical examination,endocrine and auxiliary examination. The most common causes of amenorrhea are hypothalamic amenorrhea,polycystic ovary syndrome,hyperprolactinemia and premature ovarian failure. This review discussed the etiological diagnosis of amenorrhea.
