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血浆催乳素的放射免疫测定可给催乳素过多症定一个范围,由于发生率较高,目前可能治疗,故已有大量报道。现在为了实际应用,仅对病理性血催乳素过多症之影响性功能者予以探讨。 1.诊断问题:催乳素过多症的典型临床表现是闭经-溢乳综合症。对于闭经病例,单独或合并有溢乳,应先作妊娠试验与蝶鞍摄片。但催乳素过多不一定都闭经,也可仅仅是月经不规则,无排卵周期或排卵困难和黄体期短。在诊断催乳过多-性腺机能低下综合症时,最主要的是发现催乳素腺瘤,它占垂体腺瘤的30%
Radioimmunoassay of plasma prolactin may give a range of prolactin hyperactivity disorder, due to the high incidence, the current may be treated, it has been a large number of reports. Now for practical purposes, only the pathological hyperprolactinaemia affect sexual function to be explored. 1. Diagnostic problems: The classic clinical manifestation of prolactin hyperactivity is amenorrhea - galactorrhea syndrome. For amenorrhea cases, either alone or in combination with galactorrhea, pregnancy test and sella radiograph should be performed first. But not necessarily too much prolactin amenorrhea, menstrual irregularities may also be just, anovulatory cycles or ovulation difficulties and short luteal phase. In the diagnosis of hyperprosia - hypogonadism syndrome, the most important is the discovery of prolactin adenoma, which accounts for 30% of pituitary adenomas