医学美学美容（中旬刊）
醫學美學美容（中旬刊）
의학미학미용（중순간）
MEDICAL AESTHETICS AND COSMETOLOGY
2014年
2期
7-8
,共2页
吴绮霞%甄小文%李艳娜%余芳
吳綺霞%甄小文%李豔娜%餘芳
오기하%견소문%리염나%여방
青春期功能失调性子宫出血%多囊卵巢综合征%月经失调%胰岛素抵抗
青春期功能失調性子宮齣血%多囊卵巢綜閤徵%月經失調%胰島素牴抗
청춘기공능실조성자궁출혈%다낭란소종합정%월경실조%이도소저항
puberty dysfunctional uterine bleeding%Polycystic ovary syndrome.Menstrual disorder%Insulin resistance
目的：通过分析青春期月经失调患者中多囊卵巢综合征、青春期功能失调性子宫出血（功血）和正常女性的临床资料及实验室检查结果，并对卵巢多囊综合症患者给予早期综合治疗及干预，期望减少不孕及远期的代谢综合症及子宫内膜恶性病变。方法选择90例月经失调患者和30例同龄正常女性的临床资料，对所有受试者的月经周期与经期天数、性激素及雄激素分类、口服葡萄糖耐量和胰岛素检查结果、腰臀围比、阴道B超测量卵巢小卵泡数及体积等结果进行分析。结果①青春期月经失调患者中55．55％为多囊卵巢综合征，34．44％为功血；②3组患者中多囊卵巢综合征组胰岛素抵抗者明显增多（t＝5．48，P＜0．05），青春期功血组次之，正常对照组最少；③多囊卵巢综合征组患者血清游离睾酮水平明显高于和性激素结合球蛋白低于正常对照组（t分别为5．21、3．76，均P＜0．05），FSH及E由于LH的升高常较正常值低；④多囊卵巢综合征组患者B型超声检查示双侧（或单侧）卵巢体积较功血组明显增大，小卵泡增多（t＝10．02，p＜0．05）。结论青春期功血患者中部分诊断为多囊卵巢综合症，功血可能是PCOS的早期表现，重视其临床诊断及对其积极合理的治疗或早期的预防及随诊，希望能阻止部分患者发展为PCOS。
目的：通過分析青春期月經失調患者中多囊卵巢綜閤徵、青春期功能失調性子宮齣血（功血）和正常女性的臨床資料及實驗室檢查結果，併對卵巢多囊綜閤癥患者給予早期綜閤治療及榦預，期望減少不孕及遠期的代謝綜閤癥及子宮內膜噁性病變。方法選擇90例月經失調患者和30例同齡正常女性的臨床資料，對所有受試者的月經週期與經期天數、性激素及雄激素分類、口服葡萄糖耐量和胰島素檢查結果、腰臀圍比、陰道B超測量卵巢小卵泡數及體積等結果進行分析。結果①青春期月經失調患者中55．55％為多囊卵巢綜閤徵，34．44％為功血；②3組患者中多囊卵巢綜閤徵組胰島素牴抗者明顯增多（t＝5．48，P＜0．05），青春期功血組次之，正常對照組最少；③多囊卵巢綜閤徵組患者血清遊離睪酮水平明顯高于和性激素結閤毬蛋白低于正常對照組（t分彆為5．21、3．76，均P＜0．05），FSH及E由于LH的升高常較正常值低；④多囊卵巢綜閤徵組患者B型超聲檢查示雙側（或單側）卵巢體積較功血組明顯增大，小卵泡增多（t＝10．02，p＜0．05）。結論青春期功血患者中部分診斷為多囊卵巢綜閤癥，功血可能是PCOS的早期錶現，重視其臨床診斷及對其積極閤理的治療或早期的預防及隨診，希望能阻止部分患者髮展為PCOS。
목적：통과분석청춘기월경실조환자중다낭란소종합정、청춘기공능실조성자궁출혈（공혈）화정상녀성적림상자료급실험실검사결과，병대란소다낭종합증환자급여조기종합치료급간예，기망감소불잉급원기적대사종합증급자궁내막악성병변。방법선택90례월경실조환자화30례동령정상녀성적림상자료，대소유수시자적월경주기여경기천수、성격소급웅격소분류、구복포도당내량화이도소검사결과、요둔위비、음도B초측량란소소란포수급체적등결과진행분석。결과①청춘기월경실조환자중55．55％위다낭란소종합정，34．44％위공혈；②3조환자중다낭란소종합정조이도소저항자명현증다（t＝5．48，P＜0．05），청춘기공혈조차지，정상대조조최소；③다낭란소종합정조환자혈청유리고동수평명현고우화성격소결합구단백저우정상대조조（t분별위5．21、3．76，균P＜0．05），FSH급E유우LH적승고상교정상치저；④다낭란소종합정조환자B형초성검사시쌍측（혹단측）란소체적교공혈조명현증대，소란포증다（t＝10．02，p＜0．05）。결론청춘기공혈환자중부분진단위다낭란소종합증，공혈가능시PCOS적조기표현，중시기림상진단급대기적겁합리적치료혹조기적예방급수진，희망능조지부분환자발전위PCOS。
objective by analyzing the adolescent menstrual disorder in patients with polycystic ovary syndrome, adolescent dysfunctional uter-ine bleeding () function and clinical data and laboratory results of normal women, and give an early comprehensive treatment in patients with poly-cystic ovary syndrome and intervention, and expect to reduce the infertility and forward of the metabolic syndrome and endometrial malignant lesions. Methods choose 90 cases of menstrual disorder patients and the clinical data of 30 cases of normal female age, menstrual cycle and period of days in all subjects, sex hormone and testosterone classification, oral glucose tolerance and insulin results, waist hip ratio, small vaginal ultrasound measure-ment of ovarian follicle number and volume, etc.The results were analyzed.Results (1) 55.55% adolescent menstrual disorders in patients with polycystic ovary syndrome and 34.44% for the blood;(2) the three groups of insulin resistance in patients with polycystic ovary syndrome group in-creased significantly (t =5.48, P <0.05), adolescence work times blood group, normal control group at least;(3) patients with polycystic ovary syndrome group significantly higher than the level of serum free testosterone and sex hormone binding globulin (SHBG) is lower than the normal con-trol group (t were 5.21, 3.76, P <0.05), FSH and E due to the rise of LH is often lower than normal;(4) group of patients with polycystic ovary syndrome type B ultrasound examination reealed bilateral or unilateral ovarian volume increased obviously in the work of blood group, small follicle increased (t =10.02, p <0.05).Conclusion part of the diagnosis of polycystic ovary syndrome in adolescent patients with function, blood work can be early performance of PCOS, attaches great importance to the clinical diagnosis and rational treatment of its positive or early prevention and fol-low-up, hope to be able to stop the part for the development of PCOS patients.
