溢乳症在不同人群中的临床意义  

The Clinical Significance of Galactorrhea in General Population and Patients

作　　者：朱桂金[1] 

机构地区：[1]同济医科大学附属同济医院妇产科,武汉430030

出　　处：《同济医科大学学报》2000年第1期76-78,共3页Acta Universitatis Medicinae Tongji

摘　　要：调查溢乳症在普通人群和不孕症、妇科内分泌门诊患者中的发生情况，发现溢乳症在普通人群中占７．３％（６０／８２３），在不孕症和内分泌疾病患者中占１２．７％（１５２／１２００）。在溢乳症患者中，有月经异常、高催乳素（ＰＲＬ）血症和垂体肿瘤的比例分别为５１．２％、６３．５％和３５．３％。溢乳程度愈重，月经异常、高ＰＲＬ血症和垂体肿瘤的发生比例愈高（Ｐ＜０．０５）。提示，溢乳症患者可根据溢乳的程度、有无月经异常、血催乳素水平决定是否进一步检查和治疗，轻度溢乳可观察，重度溢乳患者应及时检查有无垂体肿瘤。The galactorrhea was evaluated in 823 general women and 1200 patients with infertility and menstrual disturbances. The galactorrhea was observed in 60 women (7. 3 % ) and in 152 patients (12. 7 % ). The proportion of abnormal menstruation, pituitary tumor and hyperprolactinemia was 51. 2 %, 35. 3 % and 63. 5 % respectively in the women with galactorrhea. The results suggested that both quantity of galactorrhea and serum PRL are important factors in estimation of presence of pituitary tumor in women with galactorrhea.

关 键 词：溢乳症 高催乳素血症 月经异常 垂体肿瘤 

分 类 号：R584[医药卫生—内分泌] R736.4[医药卫生—内科学]