青春期多囊卵巢综合征50例分析

The Analysis on 50 cases of Puberalpo Polycystic ovarian Syndrome

目的 :总结青春期多囊卵巢综合征 (PCOS)患者的临床特征及治疗结果。方法 :将 5 0例青春期 PCOS患者根据其发病情况、痤疮及多毛状况进行临床评分。回顾分析临床治疗 ,用放免法测定血清泌乳素、黄体生成素、卵泡刺激素、雌二醇、睾酮、雄烯二酮。口服避孕药及安体舒通治疗。结果 :治疗前后睾酮、雄烯二酮、黄体生成素平均值有显著差异 ,痤疮临床评分差异显著 ,多毛改善不明显 ,糖耐量试验与卵巢体积改善不明显。结论 :1青春期多囊卵巢综合征情况不能忽视。 2临床应用口服避孕药与安体舒通治疗青春期多囊卵巢综合征所致月经异常、痤疮效果显著。

Objective:Sum up the clinical features and curative effect of puberal PCOS (polycystic ovarian syndrome) Methods:To appraise clinical numerical eraluation on the puberalsufferer's illness, acne and hirsutism in 50 cases Analyzing the clinical treatment, measuring the PRL LH FSH E 2 T and A with radioimmunoassay(RIA) Treaed by oral contraceptive and pironolaetone Results: Sharp difference in the average value of T A and LH and in acne's clinical numerical evaluation before and after the treatment Noobvious improvement in hirsutism,OGTT (oral glucose tolerauce test) andovarian voulume Conclusion: Puberal PCOS can't be ignored;It's effective to have clinical use of oral contraceptive and spironolactone for puberal PCOS's menses irregularity and acne