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作者收集了556例有雄激素过多的症状,超声相卵巢内至少有10个直径为2～8mm的卵泡,周围间质致密增多而诊为多囊卵巢(PCO)的患者。记录其症状体征,测定血清LH、FSH、PRL、总睾酮(T)及T_4浓度,超声测量双卵巢体积、子宫横断面积及内膜厚度。先天性肾上腺增生及垂体非PRL瘤手术史患者未列入内。23例月经规则无雄激素过多征,卵巢超声相正常者作为对照。结果:PCO组内分泌表现与Stein-Leventhal综合征相似,血LH、总T及卵巢体积显著高于对照。LH与FSH、T浓度及卵巢体积正相关。T
The authors collected 556 patients with hyperandrogenism and had at least 10 follicles 2 to 8 mm in diameter in the ultrasound phase of the ovary that were diagnosed as polycystic ovary (PCO) with increased interstitial density. The symptoms and signs were recorded. Serum LH, FSH, PRL, total testosterone (T) and T_4 concentrations were measured. The volume of ovary, the cross section of uterus and the thickness of intima were measured by ultrasound. Patients with congenital adrenal hyperplasia and pituitary non-PRL tumor surgery were not included. 23 cases of menstrual rules androgen deficiency syndrome, normal ovarian ultrasound as a control. Results: The endocrine performance of PCO group was similar to that of Stein-Leventhal syndrome. The blood LH, total T and ovarian volume were significantly higher than those of the control group. LH and FSH, T concentration and ovarian volume were positively correlated. T