澶姣锛璇ュ浣搴瀵癸

瀵圭锋ц瑷锛韬澶涓ㄤやｅ榛叉锛㈤ㄧ￠』涓锋锋ф蹇瑕杩浜瑰惧ㄥコц韩涓璇锛灏辨涓轰涓绉灏村艾尖澶姣澶姣ｈ寰寰浼涓哄浜父浜虹姣胯ㄦュ父绀句氦娲讳腑澶版帮濂冲ㄥぉ缇附瀵瑰ス浠瑷涔涓筹ゆ涔澶锛杩浜ｈ寰灏芥板姣浠ラ杩瑙娌荤锛涓澶缇ゆ锛ラ缇附ゃ濡浣涔姝ｆ杩风版帮涓濡ㄦョ涓杩绡绔

澶浣姣锛浠ワ

浜轰姣涓涓轰袱绫伙涓绫绘茬杈胯绮缁姣锛涓绫诲病茬缁杞姣浜虹涓ユ哄伴姣锛浣婵绱绛绱褰卞锛姣澶у绫诲浼

ㄤ汉浣涓ㄤ锛婵绱瀵规褰卞涔姣肩姣垮涓婵绱浠讳褰卞锛姣存浣按骞崇婵绱灏卞浠ュ揩匡搁ㄣㄣ涓归浠ュ￠』ㄥ㈤ㄦ锛藉ㄩ姘村钩婵绱烘涔涓浼匡杩涔板ソ锋т姣虹ㄤ杈澶涓杈娴瀵涓杩婵绱浼瀵艰村ご锛涓哄浠ヨ澶村挎缂╃

ㄥコт锛靛发句烘璐ｅ娉婵绱涓昏娉ㄥ浼╃ㄨ洪存鹃T锛锛句哄婵绱茬嚎解绛モ婵绱韬锛跺杩涓绯诲剁褰㈡鹃娌℃ㄥ浠ュㄨ缁涓浆涓洪婵绱锛璋涓涓句袱寰ㄤ灏瑕婵绱浣ㄧㄤ锛渚濡姣锛涔涓鹃浼缁5伪-杩剁杞村己婵绱浜姘㈢鹃DHT锛锛杩涓姝ュ浜婵绱ц卞锛淇绉扳婧㈡ц卞锛濂虫у浣姣褰㈡冲抽瑕锛绉板涓衡涓朵婧涔涓涓鸿

姝ｅ父典锛濂虫т婵绱宠ュ浣杩浼板澶哄讹渚濡浠ユ婵绱椿宠浆涓洪婵绱搴褰卞锛杩浜褰卞绱涔板ソ浣垮コт婵绱婵绱姘村钩淇稿骞宠　惰锛涓瀵艰撮婵绱澶т甯告按骞筹ㄧ5伪-杩舵椿у甯稿寮猴戒瀵艰磋涓稿骞宠　扮村骞宠　村缁灏辨ｄ杈楂婵绱姘村钩烘界跨姣寮濮匡濂虫х澶姣涔辨ャ

澶姣涓甯告锛诲诲涓娓

涓灏濂冲戒韬寰澶ㄤ姝ｅ父浣姣匡璇涓烘姣琛ㄧ瀹涓锛姝ｅ㈡璇达韬寰澶ㄤ姣垮婵绱筹绾姝ｅ父璞°蜂唬琛ㄦх渚瀛灏辨涓夸灏匡界舵甯哥璞★浣浠缁父浼琚璁や负姣琛ㄧ锛涓灏浜轰姝ゆ扮笺

涓烘搴ㄦ涓哄箍娉澶姣璇瀹1961骞村跺Ferriman-Gallwey璇绯荤锛濡涓炬绀猴辫浼9涓瑰чㄤ锛璇ラㄤ姣胯涓0锛句腑瑰锛姣浠板璇涓1~4ㄦ甯稿コт腑锛璇ヨ诲尖7锛8抽瑕杩琛杩涓姝ユャ

澶姣

甯告典锛濂虫х澶姣琛ㄧ寰寰遍婵绱杩鹃DHT杞澧锛涔灏辨5伪-杩舵椿у锛淬瀵硅查濂虫ц瑷锛澶姣变互涓绱寮璧凤

靛发剧锛浣涓哄コт腑甯歌娉缁煎寰锛澶靛发缁煎寰锛PCOS锛寮璧峰靛发杩婵绱锛瀵艰村姣琛ㄧ虹PCOSｈ涓哄父甯稿跺骞惰寮甯搞板绱垫涓电澶绉剧锛杈瀹规琚ゆ涔澶锛ㄥ靛发跨や娉婵绱锛寮澶姣

句虹剧锛变句哄ㄥコт婵绱涓瑕瑙诧涓灏句虹剧涔浠ラ杩澧婵绱娉寮璧峰姣杩绫荤剧涓浜娆ｇ患寰锛川婵绱杩娉寮缁煎寰锛涓稿澶╂ц句哄锛CAH锛句鸿跨ょ

朵碉楂娉涔崇琛锛甯哥卞浣虹ゆ╂寮璧凤茬惰哄藉瀵瑰娉绯荤褰卞涔姣匡ヤラ婵绱锛濡瑙颁即渚ｇ婵绱跺锛跺ㄩ婵绱跺わ锛峰寮璧峰姣涓ㄥ澶姣ｈ婵绱姘村钩姝ｅ父锛浣灞ㄧ缁涓5伪-杩剁娲绘ц姝ｅ父浜烘椿璺锛斥瑰у姣

濡浣辨版

瀵逛ｄ缁у浜ㄨ川х澶姣ｈヨ锛绉娌荤剧冲鹃舵澧匡涓规娌荤浣瑰у姣锛浠ュPCOS寮璧风澶姣锛寰寰瑕瀵规х娌荤

翠垮COC锛PCOS涓绾挎不锛PCOS寮璧风澶姣峰杩COCュ扮瑙ｏ瀹瀵圭瑰у姣ｈ锋涓杩COC骞朵ㄤｈ锛ㄦCOC涔锛涓瀹瑕浠缁璇浼拌韩跺碉蹇瑕跺ㄨ荤姝ゅ锛婵绱锛锛30渭g锛板COC锛涓娌荤澶姣PCOS

变COC韩规э浣垮疯藉婵绱┾哄瀹浣锛ｉ烘涓轰瑰у姣涓绾挎不哄韩ㄤ不蹇琛扮╁翱锛浣瀹缁规ц锋杈寮辩婵绱浣涓翠互ヨ骞挎ㄤ不澶姣哄ㄦу楂锛灏涓搴缁瑙ゅ共ユ璋村冲娑澶便ｉ烘瑰ц寮虹5伪-II杩舵跺锛瀹ヨㄤ不哄锋ч婵绱ц卞锛浣瀵瑰コх瑰у姣锋寰濂芥姝ゅ锛灏界浠锋兼哄吹涓灏锛浣瀹ㄦ村ｈ寰寰浠ュ挎堕存不锛涔村ｈ娆㈣

涓杩版不藉浠ュㄦ颁釜绾姝ｉ婵绱寮甯革浠浣垮甯告澧垮姝惰锛瀹浠宸茬垮虹姣涓浼褰卞锛ｈ╃ㄧ甸ゆ绛诲缇娈靛ゅ凡缁跨姣锛浣濂藉ㄦ不绋冲锛3~6涓锛琛

Bulent O Yildiz , Assessment, diagnosis andtreatment of a patient with hirsutism.

NatureClinical Practice Endocrinology & Metabolism(2008) 4, 294-300 doi:10.1038/ncpendmet0789

Henry M.Kronenberg , et al.WilliamsTextbook of Endocrinology,11E

J.Larry Jameson , et al.Harrison'sEndocrinology

Jerome F. Strauss III , et al.Yen &Jaffe's Reproductive Endocrinology,6E