产卵素分泌的垂体腺瘤. 三,第三部分. 发生 amenorrhea-galactorrhea 的频率和诊断
JAMA
|September 19, 1980
概括
通过结合低环状断层扫描和血清前素检测,在患有非常春病或银河病的妇女中诊断分泌前素的垂体腺瘤得到了改善. 这种诊断方法在识别这些瘤方面显示出高准确性.
科学领域:
- 内分泌学 在内分泌学.
- 放射学 放射学是一门学科.
- 在瘤学瘤学.
背景情况:
- 分泌前列腺素的垂体腺瘤是女性无精通病和银河通病的常见原因.
- 准确的诊断对于有效的治疗和管理至关重要.
研究的目的:
- 评估腰部的低环状断层扫描的诊断效用,结合血清前素测量,以确定分泌前素的垂体腺瘤.
主要方法:
- 有146名患有异常流血,银河流血或两种疾病的妇女接受了低环状断层扫描和血清前素水平测量.
- 患者被分为以前未经查和预先查的组.
- 对于手术治疗的患者,获得了组织学确认.
主要成果:
- 异常的断层扫描和高水平的益乳素,暗示腺瘤,在24.6%的未查和59.2%的预先查的患者中被发现.
- 异常断层扫描和升高的益乳素的组合具有高度特异性 (91%),大多数接受手术治疗的女性确诊了瘤.
- 在15-45岁的女性中观察到瘤,症状持续时间各不相同,并注意到肥胖和PCOS等相关疾病.
结论:
- 低环状断层扫描和血清前素测量的联合使用是前素分泌的垂体腺瘤的有价值和特定的诊断策略.
- 这种诊断方法有助于识别女性的瘤呈现 amenorrhea 和/或 galactorrhea,包括那些与共存的条件.
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