闭经51例的临床分析和治疗探讨  

A clinical analysis and management of 51 cases of amenorrhea

作　　者：刘晓军[1] 陈建中[1] 

机构地区：[1]安徽医科大学第一附属医院妇产科,合肥230022

出　　处：《中国基层医药》2001年第6期487-489,共3页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的　探讨闭经的病因、治疗方法及疗效。方法　对 1989年 2月至 2 0 0 1年 2月间我院妇科内分泌治疗的 5 1例闭经病人的临床资料进行了回顾性分析 ,并根据病人的临床症状及血清激素水平特征归类进行了讨论。结果　 5 1例闭经病人 ,未婚 8例 ,已婚 43例 ,其中 3例结婚时间短于半年 ,37例为不孕症者 ,占72 5 %。多囊卵巢综合征 (PCOS) 2 1例 (41 2 %) ;卵巢早衰 (POF) 18例 (35 3 %) ;高催乳素血症 (HPRL) 6例 ;垂体微腺瘤 4例 ;高雄激素血症 2例。通过内分泌药物治疗后观察 ,PCOS病人的妊娠率为 5 8 8%;POF病人中仅有 1例妊娠 ;HPRL 6例病人中有 5例妊娠 ;垂体微腺瘤 3例 (已婚 )中有 2例妊娠 ;高雄激素血症的 2例病人中 1例妊娠。结论　本组资料表明闭经病人经过适当的治疗 ,其妊娠率除POF外效果是比较满意的。Objective To study the causes of amenorrhea,therapy and effect.Methods To review chinical data of 51 patients with amenosrrhea from Feb,1989 to Feb,2000 in our hospital.And,to discuss by clinical symptoms and sex hromone leve.Results Among 51 it was found that patients including 8 cases of singles and 43 cases(including 3 women whose marriage time were shorter than half a year) of married women,infertility 37 cases(72.5%),polycystic ovarian syndrome(PCOS) 21 cases(41.2%),premature ovarian failure(POF) 18 cases(35.3%),hyperprolactinemic 6 cases,pituitary microadenoma 4 cases,hypertestosterome 2 cases.Pregnant rate of PCOS patients was 58.8% after endocrine therapy,but only one case conceived aming patients of POF.There were 5 cases who conceived among HPRL,2 of 3 cases of pituitary microadenoma conceived and so did one of two cases of hypertestosterone.Conclusion The pregnant rates of amenorrhea patients were satisfied through endocrine therapy except POF.

关 键 词：闭经 多囊卵巢综合征 卵巢早衰 内分泌失调 闭经治疗 

分 类 号：R711.51[医药卫生—妇产科学]