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多囊卵巢需要做的检查及基意义Examination of polycystic ovary and its basic significance

  • 来源:xjat
  • 作者:xjat
  • 更新日期:2019-04-09 20:12
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陈凤林教授指出:多囊卵巢的检查方法如下:Professor Chen Fenglin pointed out that the methods of polycystic ovary examination are as follows: 1、基础内分泌测定:激素六项。基础内分泌是指既无卵泡也无黄体的基础状态,月经规律者应该是月经的3-5天

陈凤林教授指出:多囊卵巢的检查方法如下:Professor Chen Fenglin pointed out that the methods of polycystic ovary examination are as follows:

1、基础内分泌测定:激素六项。基础内分泌是指既无卵泡也无黄体的基础状态,月经规律者应该是月经的3-5天,还要 近1个月没有用过激素药物(雌孕雄激素,促排卵药物等)。月经不规律或不能确定时间者可由资深的医师来判断。

1. Basic endocrine measurement: six hormones. Basic endocrine refers to the basic state without follicles or corpus luteum. Menstrual regularity should be 3-5 days of menstruation, but also to ensure that no hormone drugs (estrogen, progesterone, ovulation-promoting drugs, etc.) have been used in nearly a month. Those with irregular menstruation or uncertain timing can be judged by a senior doctor.

2、四维彩超检查:卵巢增大,包膜回声增强,内有多个无回声区,即呈“项链征”连续监测未见主导卵泡发育及排卵迹象。

2. Four-dimensional color Doppler ultrasonography: ovary enlargement, capsular echo enhancement, there are many anechoic areas, that is, "necklace sign" continuous monitoring did not lead to follicular development and ovulation signs.

3、电子宫腹腔镜检查:排除是否合并子宫纵膈与幼稚子宫,并对卵巢进行治疗。

3. Electronic hysteroscopy and laparoscopy: exclude the merger of uterine mediastinum and immature uterus, and treat ovaries.

4、测胰岛素、血糖或75g糖耐量测定,以排除有无胰岛素抵抗。

4. Insulin, blood sugar or 75 g glucose tolerance were measured to exclude insulin resistance.

5、查泌乳素,以排除是否合并高泌乳素血症。还应查脂肪代谢相关检查、皮质醇、17-羟基酮等。

5. Check prolactin to exclude the complication of hyperprolactinemia. Fat metabolism, cortisol and 17-hydroxyketone should also be examined.

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