闭经泌乳综合征

AMENORRHEA-GALACTORRHEA SYNDROME

作者通过对207例闭经泌乳综合征患者血清PRL等激素测定结果的分析,结合CT、MRI检查结果,就闭经泌乳综合征的病因病机及诊断等问题进行了探讨。认为,血清PRL水平的高低不能作为早期发现微腺瘤的最佳方法,对血清PRL值正常而有泌乳伴头痛、月经异常等临床表现者,仍应高度警惕泌乳素瘤的发生,及时进行颅CT或MRI检查,以便早期诊断、早期治疗。

This paper deals tentatively with the pathogenic mechansm and diagnosis of amenorrhea- galactorrhea syndrome according to the study of prolactin(PRL)and other hormones and CT, and MRL in 207 cases of the syndrome.The authors hold that the determination of serum PRL level can no longer be the best method for early detection of microadenoma.Patients with normal serum PRL,but with clinical manifestations of galactorrhea accompanied by headache and abnor- mal menstruation should be on guard against the development of prolactinoma.CT scanning and MRI examination of the cranium should be employed for early detection and treatment of mi- croadenoma.