{"id":282,"date":"2018-03-13T15:52:04","date_gmt":"2018-03-13T07:52:04","guid":{"rendered":"http:\/\/www.pcossister.com\/?p=282"},"modified":"2018-03-13T15:52:04","modified_gmt":"2018-03-13T07:52:04","slug":"%e5%a4%9a%e5%9b%8a%e5%8d%b5%e5%b7%a2%e7%bb%bc%e5%90%88%e5%be%81%e4%b8%ad%e5%9b%bd%e8%af%8a%e7%96%97%e6%8c%87%e5%8d%97%ef%bc%88%e4%b8%ad%e5%8d%8e%e5%a6%87%e4%ba%a7%e7%a7%91%e6%9d%82%e5%bf%972018","status":"publish","type":"post","link":"https:\/\/pcossister.com\/index.php\/2018\/03\/13\/%e5%a4%9a%e5%9b%8a%e5%8d%b5%e5%b7%a2%e7%bb%bc%e5%90%88%e5%be%81%e4%b8%ad%e5%9b%bd%e8%af%8a%e7%96%97%e6%8c%87%e5%8d%97%ef%bc%88%e4%b8%ad%e5%8d%8e%e5%a6%87%e4%ba%a7%e7%a7%91%e6%9d%82%e5%bf%972018\/","title":{"rendered":"\u591a\u56ca\u5375\u5de2\u7efc\u5408\u5f81\u4e2d\u56fd\u8bca\u7597\u6307\u5357\uff08\u4e2d\u534e\u5987\u4ea7\u79d1\u6742\u5fd72018\u5e741\u6708\u53d1\u5e03\u6700\u65b0\u6307\u5357\uff09"},"content":{"rendered":"

\"\"<\/p>\n

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\u591a\u56ca\u5375\u5de2\u7efc\u5408\u5f81\uff08polycysticovarysyndrome\uff0cPCOS\uff09\u662f\u5e38\u89c1\u7684\u751f\u6b96\u5185\u5206\u6ccc\u4ee3\u8c22\u6027\u75be\u75c5\uff0c\u4e25\u91cd\u5f71\u54cd\u60a3\u8005\u7684\u751f\u547d\u8d28\u91cf\u3001\u751f\u80b2\u53ca\u8fdc\u671f\u5065\u5eb7\uff0c\u4e34\u5e8a\u8868\u73b0\u5448\u73b0\u9ad8\u5ea6\u5f02\u8d28\u6027\uff0c\u8bca\u65ad\u548c\u6cbb\u7597\u4ecd\u5b58\u5728\u4e89\u8bae\uff0c\u6cbb\u7597\u65b9\u6cd5\u7684\u9009\u62e9\u4e5f\u4e0d\u5c3d\u76f8\u540c\u3002\u4e3a\u89c4\u8303\u5316\u4e34\u5e8a\u8bca\u6cbb\u548c\u7ba1\u7406PCOS?\u60a3\u8005\uff0c\u4e2d\u534e\u533b\u5b66\u4f1a\u5987\u4ea7\u79d1\u5b66\u5206\u4f1a\u5185\u5206\u6ccc\u5b66\u7ec4\u7ec4\u7ec7\u56fd\u5185\u76f8\u5173\u4e13\u5bb6\u5728\u53c2\u8003\u56fd\u5916\u76f8\u5173\u6307\u5357\u53ca\u5171\u8bc6\u540e\uff0c\u7ed3\u5408\u6211\u56fd\u7684\u60a3\u8005\u60c5\u51b5\u3001\u4e34\u5e8a\u7814\u7a76\u53ca\u8bca\u7597\u7ecf\u9a8c\uff0c\u7ecf\u8fc7\u8ba8\u8bba\uff0c\u5236\u5b9a\u672c\u6307\u5357\uff0c\u65e8\u5728\u5bf9\u4e2d\u56fdPCOS\u7684\u8bca\u65ad\u4f9d\u636e\u3001\u8bca\u65ad\u6807\u51c6\u548c\u6cbb\u7597\u539f\u5219\u65b9\u9762\u7ed9\u51fa\u6307\u5bfc\u610f\u89c1\u3002\u672c\u6307\u5357\u9002\u7528\u4e8e\u9752\u6625\u671f\u3001\u80b2\u9f84\u671f\u548c\u56f4\u7edd\u7ecf\u671fPCOS\u60a3\u8005\u7684\u8bca\u7597\u53ca\u7ba1\u7406\u3002<\/p>\n

\u8bca\u65ad\u4f9d\u636e<\/p>\n

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\u4e8c\u3001\u4f53\u683c\u68c0\u67e5<\/p>\n

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\u4e09\u3001\u76c6\u8154\u8d85\u58f0\u68c0\u67e5<\/p>\n

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\u56db\u3001\u5b9e\u9a8c\u5ba4\u68c0\u67e5<\/p>\n

1.\u9ad8\u96c4\u6fc0\u7d20\u8840\u75c7\uff1a\u8840\u6e05\u603b\u777e\u916e\u6c34\u5e73\u6b63\u5e38\u6216\u8f7b\u5ea6<\/p>\n

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2.\u6297\u82d7\u52d2\u7ba1\u6fc0\u7d20\uff1aPCOS\u60a3\u8005\u7684\u8840\u6e05\u6297\u82d7\u52d2\u7ba1\u6fc0\u7d20\uff08anti-M\u00fcllerianhormone,AMH\uff09\u6c34\u5e73\u8f83\u6b63\u5e38\u660e\u663e\u589e\u9ad8\u3002<\/p>\n

3.\u5176\u4ed6\u751f\u6b96\u5185\u5206\u6ccc\u6fc0\u7d20\uff1a\u975e\u80a5\u80d6PCOS\u60a3\u8005\u591a\u4f34\u6709LH\/FSH\u6bd4\u503c\u22652\u300220%~35%\u7684PCOS\u60a3\u8005\u53ef\u4f34\u6709\u8840\u6e05\u50ac\u4e73\u7d20\uff08PRL\uff09\u6c34\u5e73\u8f7b\u5ea6\u589e\u9ad8\u3002<\/p>\n

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\u8bca\u65ad\u6807\u51c6<\/p>\n

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1.\u7591\u4f3cPCOS\uff1a\u6708\u7ecf\u7a00\u53d1\u6216\u95ed\u7ecf\u6216\u4e0d\u89c4\u5219\u5b50\u5bab<\/p>\n

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2.\u786e\u8bcaPCOS\uff1a\u5177\u5907\u4e0a\u8ff0\u7591\u4f3cPCOS\u8bca\u65ad\u6761\u4ef6\u540e\u8fd8\u5fc5\u987b\u9010\u4e00\u6392\u9664\u5176\u4ed6\u53ef\u80fd\u5f15\u8d77\u9ad8\u96c4\u6fc0\u7d20\u7684\u75be\u75c5\u548c\u5f15\u8d77\u6392\u5375\u5f02\u5e38\u7684\u75be\u75c5\u624d\u80fd\u786e\u5b9aPCOS\u7684\u8bca\u65ad\u3002<\/p>\n

\u4e8c\u3001\u9752\u6625\u671fPCOS\u7684\u8bca\u65ad<\/p>\n

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\u4e09\u3001\u6392\u9664\u8bca\u65ad<\/p>\n

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1.\u5e93\u6b23\u7efc\u5408\u5f81\uff1a\u662f\u7531\u591a\u79cd\u75c5\u56e0\u5f15\u8d77\u7684\u4ee5\u9ad8\u76ae\u8d28<\/p>\n

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2.\u975e\u7ecf\u5178\u578b\u5148\u5929\u6027\u80be\u4e0a\u817a\u76ae\u8d28\u589e\u751f\uff08NCCAH\uff09\uff1a\u5360\u9ad8\u96c4\u6fc0\u7d20\u8840\u75c7\u5973\u6027\u76841%\uff5e10%\u3002\u4e34\u5e8a\u4e3b\u8981\u8868\u73b0\u4e3a\u8840\u6e05\u96c4\u6fc0\u7d20\u6c34\u5e73\u548c(\u6216)17-\u7f9f\u5b55\u916e\u3001\u5b55\u916e\u6c34\u5e73\u7684\u5347\u9ad8\uff0c\u90e8\u5206\u60a3\u8005\u53ef\u51fa\u73b0\u8d85\u58f0\u4e0b\u7684PCOM\u53ca\u6708\u7ecf\u7d0a\u4e71\u3002\u6839\u636e\u8840\u57fa\u784017\u03b1\u7f9f\u5b55\u916e\u6c34\u5e73[\u22656.06nmol\/L (\u53732ng\/ml)]\u548cACTH\u523a\u6fc060min\u540e17\u03b1\u7f9f\u5b55\u916e\u53cd\u5e94[\u226530.3nmol\/L\uff08\u537310ng\/ml\uff09]\u53ef\u8bca\u65adNCCAH\u3002\u9274\u4e8e\u4ee5\u4e0a\u76f8\u5173\u68c0\u67e5\u987b\u5177\u5907\u7279\u6b8a\u7684\u68c0\u67e5\u6761\u4ef6\uff0c\u53ef\u8f6c\u81f3\u4e0a\u7ea7\u533b\u9662\u5185\u5206\u6ccc\u79d1\u4f1a\u8bca\u4ee5\u534f\u52a9\u9274\u522b\u8bca\u65ad\u3002<\/p>\n

3.\u5375\u5de2\u6216\u80be\u4e0a\u817a\u5206\u6ccc\u96c4\u6fc0\u7d20\u7684\u80bf\u7624\uff1a\u60a3\u8005\u5feb\u901f\u51fa\u73b0\u7537\u6027\u5316\u4f53\u5f81\uff0c\u8840\u6e05\u777e\u916e\u6216DHEA\u6c34\u5e73\u663e\u8457\u5347\u9ad8\uff0c\u5982\u8840\u6e05\u777e\u916e\u6c34\u5e73\u9ad8\u4e8e5.21\uff5e6.94nmol\/L\uff08\u5373150~200ng\/dl\uff09\u6216\u9ad8\u4e8e\u68c0\u6d4b\u5b9e\u9a8c\u5ba4\u4e0a\u9650\u76842.0~2.5\u500d\u3002\u53ef\u901a\u8fc7\u8d85\u58f0\u3001MRI\u7b49\u5f71\u50cf\u5b66\u68c0\u67e5\u534f\u52a9\u9274\u522b\u8bca\u65ad\u3002<\/p>\n

4.\u5176\u4ed6\uff1a\u836f\u7269\u6027\u9ad8\u96c4\u6fc0\u7d20\u8840\u75c7\u987b\u6709\u670d\u836f\u53f2\u3002\u7279\u53d1\u6027\u591a\u6bdb\u6709\u9633\u6027\u5bb6\u65cf\u53f2\uff0c\u8840\u777e\u916e\u6c34\u5e73\u53ca\u5375\u5de2\u8d85\u58f0\u68c0\u67e5\u5747\u6b63\u5e38\u3002<\/p>\n

\uff08\u4e8c\uff09\u6392\u5375\u969c\u788d\u7684\u9274\u522b\u8bca\u65ad<\/p>\n

1.\u529f\u80fd\u6027\u4e0b\u4e18\u8111\u6027\u95ed\u7ecf\uff1a\u901a\u5e38\u8840\u6e05FSH\u3001LH\u6c34\u5e73\u4f4e\u6216\u6b63\u5e38\u3001FSH\u6c34\u5e73\u9ad8\u4e8eLH\u6c34\u5e73\uff0c\u96cc\u4e8c\u9187\u76f8\u5f53\u4e8e\u6216\u4f4e\u4e8e\u65e9\u5375\u6ce1\u671f\u6c34\u5e73\uff0c\u65e0\u9ad8\u96c4\u6fc0\u7d20\u8840\u75c7\uff0c\u5728\u95ed\u7ecf\u524d\u5e38\u6709\u5feb\u901f\u4f53\u8d28\u91cf\u51cf\u8f7b\u6216\u7cbe\u795e\u5fc3\u7406\u969c\u788d\u3001\u538b\u529b\u5927\u7b49\u8bf1\u56e0\u3002<\/p>\n

2.\u7532\u72b6\u817a\u75be\u75c5\uff1a\u6839\u636e\u7532\u72b6\u817a\u529f\u80fd\u6d4b\u5b9a\u548c\u6297\u7532\u72b6\u817a\u6297\u4f53\u6d4b\u5b9a\u53ef\u8bca\u65ad\u3002\u5efa\u8bae\u7591\u4f3cPCOS\u7684\u60a3\u8005\u5e38\u89c4\u68c0\u6d4b\u8840\u6e05\u4fc3\u7532\u72b6\u817a\u7d20\uff08TSH\uff09\u6c34\u5e73\u53ca\u6297\u7532\u72b6\u817a\u6297\u4f53\u3002<\/p>\n

3.\u9ad8PRL\u8840\u75c7\uff1a\u8840\u6e05PRL\u6c34\u5e73\u5347\u9ad8\u8f83\u660e\u663e\uff0c\u800c<\/p>\n

LH\u3001FSH\u6c34\u5e73\u504f\u4f4e\uff0c\u6709\u96cc\u6fc0\u7d20\u6c34\u5e73\u4e0b\u964d\u6216\u7f3a\u4e4f\u7684\u8868\u73b0\uff0c\u5782\u4f53MRI\u68c0\u67e5\u53ef\u80fd\u663e\u793a\u5782\u4f53\u5360\u4f4d\u6027\u75c5\u53d8\u3002<\/p>\n

4.\u65e9\u53d1\u6027\u5375\u5de2\u529f\u80fd\u4e0d\u5168\uff08POI\uff09\uff1a\u4e3b\u8981\u8868\u73b0\u4e3a40\u5c81\u4e4b\u524d\u51fa\u73b0\u6708\u7ecf\u5f02\u5e38\uff08\u95ed\u7ecf\u6216\u6708\u7ecf\u7a00\u53d1\uff09\u3001\u4fc3\u6027\u817a\u6fc0\u7d20\u6c34\u5e73\u5347\u9ad8(FSH>25U\/L)\u3001\u96cc\u6fc0\u7d20\u7f3a\u4e4f\u3002<\/p>\n

\u6cbb\u7597\u539f\u5219<\/p>\n

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\u4e8c\u3001\u6cbb\u7597\u65b9\u6cd5<\/p>\n

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1.\u996e\u98df\u63a7\u5236\uff1a\u996e\u98df\u63a7\u5236\u5305\u62ec\u575a\u6301\u4f4e\u70ed\u91cf\u996e\u98df\u3001<\/p>\n

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2.\u8fd0\u52a8\uff1a\u8fd0\u52a8\u53ef\u6709\u6548\u51cf\u8f7b\u4f53\u8d28\u91cf\u548c\u9884\u9632\u4f53\u8d28\u91cf\u589e\u52a0\u3002\u9002\u91cf\u89c4\u5f8b\u7684\u8017\u80fd\u4f53\u683c\u953b\u70bc\uff0830min\/d\uff0c\u6bcf\u5468\u81f3\u5c115\u6b21\uff09\u53ca\u51cf\u5c11\u4e45\u5750\u7684\u884c\u4e3a\uff0c\u662f\u51cf\u91cd\u6700\u6709\u6548\u7684\u65b9\u6cd5\u3002\u5e94\u4e88\u4e2a\u4f53\u5316\u65b9\u6848\uff0c\u6839\u636e\u4e2a\u4eba\u610f\u613f\u548c\u8003\u8651\u5230\u4e2a\u4eba\u4f53\u529b\u7684\u9650\u5ea6\u800c\u5236\u5b9a\u3002<\/p>\n

3.\u884c\u4e3a\u5e72\u9884\uff1a\u751f\u6d3b\u65b9\u5f0f\u5e72\u9884\u5e94\u5305\u542b\u52a0\u5f3a\u5bf9\u4f4e\u70ed\u91cf\u996e\u98df\u8ba1\u5212\u548c\u589e\u52a0\u8fd0\u52a8\u7684\u63aa\u65bd\u4f9d\u4ece\u6027\u7684\u884c\u4e3a\u5e72\u9884\u3002\u884c\u4e3a\u5e72\u9884\u5305\u62ec\u5bf9\u80a5\u80d6\u8ba4\u77e5\u548c\u884c\u4e3a\u4e24\u65b9\u9762\u7684\u8c03\u6574\uff0c\u662f\u5728\u4e34\u5e8a\u533b\u5e08\u3001\u5fc3\u7406\u533b\u5e08\u3001\u62a4\u58eb\u3001\u8425\u517b\u5b66\u5bb6\u7b49\u56e2\u961f\u7684\u6307\u5bfc\u548c\u76d1\u7763\u4e0b\uff0c\u4f7f\u60a3\u8005\u9010\u6b65\u6539\u53d8\u6613\u4e8e\u5f15\u8d77\u75be\u75c5\u7684\u751f\u6d3b\u4e60\u60ef\uff08\u4e0d\u8fd0\u52a8\u3001\u6444\u5165\u9152\u7cbe\u548c\u5438\u70df\u7b49\uff09\u548c\u5fc3\u7406\u72b6\u6001\uff08\u5982\u538b\u529b\u3001\u6cae\u4e27\u548c\u6291\u90c1\u7b49\uff09\u3002\u884c\u4e3a\u5e72\u9884\u80fd\u4f7f\u4f20\u7edf\u7684\u996e\u98df\u63a7\u5236\u6216\u8fd0\u52a8\u7684\u63aa\u65bd\u66f4\u6709\u6548\u3002<\/p>\n

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\u9002\u7528\u4e8e\u9752\u6625\u671f\u3001\u80b2\u9f84\u671f\u65e0\u751f\u80b2\u8981\u6c42\u3001\u56e0\u6392\u5375\u969c\u788d\u5f15\u8d77\u6708\u7ecf\u7d0a\u4e71\u7684\u60a3\u8005\u3002\u5bf9\u4e8e\u6708\u7ecf\u7a00\u53d1\u4f46\u6709\u89c4\u5f8b\u6392\u5375\u7684\u60a3\u8005\uff0c\u5982\u65e0\u751f\u80b2\u6216\u907f\u5b55\u8981\u6c42\uff0c\u5468\u671f\u957f\u5ea6\u77ed\u4e8e2\u4e2a\u6708\uff0c\u53ef\u89c2\u5bdf\u968f\u8bca\uff0c\u65e0\u9700\u7528\u836f\u3002<\/p>\n

1.\u5468\u671f\u6027\u4f7f\u7528\u5b55\u6fc0\u7d20\uff1a\u53ef\u4ee5\u4f5c\u4e3a\u9752\u6625\u671f\u3001\u56f4\u7edd\u7ecf\u671fPCOS\u60a3\u8005\u7684\u9996\u9009\uff0c\u4e5f\u53ef\u7528\u4e8e\u80b2\u9f84\u671f\u6709\u598a\u5a20\u8ba1\u5212\u7684PCOS\u60a3\u8005\u3002\u63a8\u8350\u4f7f\u7528\u5929\u7136\u5b55\u6fc0\u7d20\u6216\u5730\u5c48\u5b55\u916e\uff0c\u5176\u4f18\u70b9\u662f\uff1a\u4e0d\u6291\u5236\u5375\u5de2\u8f74\u7684\u529f\u80fd\u6216\u6291\u5236\u8f83\u8f7b\uff0c\u66f4\u9002\u5408\u4e8e\u9752\u6625\u671f\u60a3\u8005\uff1b\u5bf9\u4ee3\u8c22\u5f71\u54cd\u5c0f\u3002\u7f3a\u70b9\u662f\u65e0\u964d\u4f4e\u96c4\u6fc0\u7d20\u3001\u6cbb\u7597\u591a\u6bdb\u53ca\u907f\u5b55\u7684\u4f5c\u7528\u3002\u7528\u836f\u65f6\u95f4\u4e00\u822c\u4e3a\u6bcf\u5468\u671f10\uff5e14d\u3002\u5177\u4f53\u836f\u7269\u6709\u5730\u5c48\u5b55\u916e\uff0810~20mg\/d\uff09\u3001\u5fae\u7c92\u5316\u9ec4\u4f53\u916e\uff08100~200mg\/d\uff09\u3001\u918b\u9178\u7532\u7f9f\u5b55\u916e\uff0810mg\/d\uff09\u3001\u9ec4\u4f53\u916e\uff08\u808c\u5185\u6ce8\u5c0420mg\/d\uff0c\u6bcf\u67083~5d\uff09\u3002\u63a8\u8350\u9996\u9009\u53e3\u670d\u5236\u5242\u3002<\/p>\n

2.\u77ed\u6548\u590d\u65b9\u53e3\u670d\u907f\u5b55\u836f\uff1a\u77ed\u6548\u590d\u65b9\u53e3\u670d\u907f\u5b55\u836f\uff08combinedoralcontraceptive\uff0cCOC\uff09\u4e0d\u4ec5\u53ef\u8c03\u6574\u6708\u7ecf\u5468\u671f\u3001\u9884\u9632\u5b50\u5bab\u5185\u819c\u589e\u751f\uff0c\u8fd8\u53ef\u4f7f\u9ad8\u96c4\u6fc0\u7d20\u75c7\u72b6\u51cf\u8f7b\uff0c\u53ef\u4f5c\u4e3a\u80b2\u9f84\u671f\u65e0\u751f\u80b2\u8981\u6c42\u7684PCOS\u60a3\u8005\u7684\u9996\u9009\uff1b\u9752\u6625\u671f\u60a3\u8005\u914c\u60c5\u53ef\u7528\uff1b\u56f4\u7edd\u7ecf\u671f\u53ef\u7528\u4e8e\u65e0\u8840\u6813\u9ad8\u5371\u56e0\u7d20\u7684\u60a3\u8005\uff0c\u4f46\u5e94\u614e\u7528\uff0c\u4e0d\u4f5c\u4e3a\u9996\u9009\u30023~6\u4e2a\u5468\u671f\u540e\u53ef\u505c\u836f\u89c2\u5bdf\uff0c\u75c7\u72b6\u590d\u53d1\u540e\u53ef\u518d\u7528\u836f\uff08\u5982\u65e0\u751f\u80b2\u8981\u6c42\uff0c\u80b2\u9f84\u671f\u63a8\u8350\u6301\u7eed\u4f7f\u7528\uff09\u3002\u7528\u836f\u65f6\u9700\u6ce8\u610fCOC\u7684\u7981\u5fcc\u8bc1\u3002<\/p>\n

3.\u96cc\u5b55\u6fc0\u7d20\u5468\u671f\u5e8f\u8d2f\u6cbb\u7597\uff1a\u6781\u5c11\u6570PCOS\u60a3\u8005\u80f0\u5c9b\u7d20\u62b5\u6297\u4e25\u91cd\uff0c\u96cc\u6fc0\u7d20\u6c34\u5e73\u8f83\u4f4e\u3001\u5b50\u5bab\u5185\u819c\u8584\uff0c\u5355\u4e00\u5b55\u6fc0\u7d20\u6cbb\u7597\u540e\u5b50\u5bab\u5185\u819c\u65e0\u64a4\u836f\u51fa\u8840\u53cd\u5e94\uff0c\u9700\u8981\u91c7\u53d6\u96cc\u5b55\u6fc0\u7d20\u5e8f\u8d2f\u6cbb\u7597\u3002\u4e5f\u7528\u4e8e\u96cc\u6fc0\u7d20\u6c34\u5e73\u504f\u4f4e\u3001\u6709\u751f\u80b2\u8981\u6c42\u6216\u6709\u56f4\u7edd\u7ecf\u671f\u75c7\u72b6\u7684PCOS\u60a3\u8005\u3002\u53ef\u53e3\u670d\u96cc\u4e8c\u91871\uff5e2mg\/d\uff08\u6bcf\u670821\uff5e28d\uff09\uff0c\u5468\u671f\u7684\u540e10\uff5e14d\u52a0\u7528\u5b55\u6fc0\u7d20\uff0c\u5b55\u6fc0\u7d20\u7684\u9009\u62e9\u548c\u7528\u6cd5\u540c\u4e0a\u8ff0\u7684\u201c\u5468\u671f\u6027\u4f7f\u7528\u5b55\u6fc0\u7d20\u201d\u3002\u5bf9\u4f34\u6709\u4f4e\u96cc\u6fc0\u7d20\u75c7\u72b6\u7684\u9752\u6625\u671f\u3001\u56f4\u7edd\u7ecf\u671fPCOS\u60a3\u8005\u53ef\u4f5c\u4e3a\u9996\u9009\uff0c\u65e2\u53ef\u63a7\u5236\u6708\u7ecf\u7d0a\u4e71\uff0c\u53c8\u53ef\u7f13\u89e3\u4f4e\u96cc\u6fc0\u7d20\u75c7\u72b6\uff0c\u5177\u4f53\u65b9\u6848\u53c2\u7167\u7edd\u7ecf\u6fc0\u7d20\u6cbb\u7597\uff08MHT\uff09\u7684\u76f8\u5173\u6307\u5357\u3002<\/p>\n

\uff08\u4e09\uff09\u9ad8\u96c4\u6fc0\u7d20\u7684\u6cbb\u7597<\/p>\n

\u7f13\u89e3\u9ad8\u96c4\u6fc0\u7d20\u75c7\u72b6\u662f\u6cbb\u7597\u7684\u4e3b\u8981\u76ee\u7684\u3002<\/p>\n

1.\u77ed\u6548COC\uff1a\u5efa\u8baeCOC\u4f5c\u4e3a\u9752\u6625\u671f\u548c\u80b2\u9f84\u671fPCOS\u60a3\u8005\u9ad8\u96c4\u6fc0\u7d20\u8840\u75c7\u53ca\u591a\u6bdb\u3001\u75e4\u75ae\u7684\u9996\u9009\u6cbb\u7597\u3002\u5bf9\u4e8e\u6709\u9ad8\u96c4\u6fc0\u7d20\u4e34\u5e8a\u8868\u73b0\u7684\u521d\u6f6e\u524d\u5973\u5b69\uff0c\u82e5\u9752\u6625\u671f\u53d1\u80b2\u5df2\u8fdb\u5165\u665a\u671f\uff08\u5982\u4e73\u623f\u53d1\u80b2\u2265Tanner\u2163\u7ea7\uff09\uff0c\u5982\u6709\u9700\u6c42\u4e5f\u53ef\u9009\u7528COC\u6cbb\u7597\u3002\u6cbb\u7597\u75e4\u75ae\uff0c\u4e00\u822c\u7528\u836f3\uff5e6\u4e2a\u6708\u53ef\u89c1\u6548\uff1b\u5982\u4e3a\u6cbb\u7597\u6027\u6bdb\u8fc7\u591a\uff0c\u670d\u836f\u81f3\u5c11\u9700\u89816\u4e2a\u6708\u624d\u663e\u6548\uff0c\u8fd9\u662f\u7531\u4e8e\u4f53\u6bdb\u7684\u751f\u957f\u6709\u56fa\u6709\u7684\u5468\u671f\uff1b\u505c\u836f\u540e\u53ef\u80fd\u590d\u53d1\u3002\u6709\u4e2d\u91cd\u5ea6\u75e4\u75ae\u6216\u6027\u6bdb\u8fc7\u591a\uff0c\u8981\u6c42\u6cbb\u7597\u7684\u60a3\u8005\u4e5f\u53ef\u5230\u76ae\u80a4\u79d1\u5c31\u8bca\uff0c\u914d\u5408\u76f8\u5173\u7684\u836f\u7269\u5c40\u90e8\u6cbb\u7597\u6216\u7269\u7406\u6cbb\u7597\u3002<\/p>\n

2.\u87ba\u5185\u916f(spironolactone)\uff1a\u9002\u7528\u4e8eCOC\u6cbb\u7597\u6548\u679c\u4e0d\u4f73\u3001\u6709COC\u7981\u5fcc\u6216\u4e0d\u80fd\u8010\u53d7COC\u7684\u9ad8\u96c4\u6fc0\u7d20\u60a3\u8005\u3002\u6bcf\u65e5\u5242\u91cf50\uff5e200mg\uff0c\u63a8\u8350\u5242\u91cf\u4e3a100mg\/d\uff0c\u81f3\u5c11\u4f7f\u75286\u4e2a\u6708\u624d\u89c1\u6548\u3002\u4f46\u5728\u5927\u5242\u91cf\u4f7f\u7528\u65f6\uff0c\u9700\u6ce8\u610f\u9ad8\u94be\u8840\u75c7\uff0c\u5efa\u8bae\u5b9a\u671f\u590d\u67e5\u8840\u94be\u3002\u80b2\u9f84\u671f\u60a3\u8005\u5728\u670d\u836f\u671f\u95f4\u5efa\u8bae\u91c7\u53d6\u907f\u5b55\u63aa\u65bd\u3002<\/p>\n

\uff08\u56db\uff09\u4ee3\u8c22\u8c03\u6574<\/p>\n

\u9002\u7528\u4e8e\u6709\u4ee3\u8c22\u5f02\u5e38\u7684PCOS\u60a3\u8005\u3002<\/p>\n

1.\u8c03\u6574\u751f\u6d3b\u65b9\u5f0f\u3001\u51cf\u5c11\u4f53\u8102\u7684\u6cbb\u7597\uff1a\u8c03\u6574\u751f\u6d3b\u65b9\u5f0f\u3001\u51cf\u5c11\u4f53\u8102\u7684\u6cbb\u7597\u662f\u80a5\u80d6PCOS\u60a3\u8005\u7684\u57fa\u7840\u6cbb\u7597\u65b9\u6848\u3002\u57fa\u7840\u6cbb\u7597\u63a7\u5236\u4e0d\u597d\u7684\u80a5\u80d6\u60a3\u8005\u53ef\u4ee5\u9009\u62e9\u5965\u5229\u53f8\u4ed6\u53e3\u670d\u6cbb\u7597\u4ee5\u51cf\u5c11\u8102\u80aa\u5438\u6536\u3002<\/p>\n

2.\u4e8c\u7532\u53cc\u80cd\uff1a\u4e3a\u80f0\u5c9b\u7d20\u589e\u654f\u5242\uff0c\u80fd\u6291\u5236\u80a0\u9053\u8461\u8404\u7cd6\u7684\u5438\u6536\u3001\u809d\u7cd6\u539f\u5f02\u751f\u548c\u8f93\u51fa\uff0c\u589e\u52a0\u7ec4\u7ec7\u5bf9\u8461\u8404\u7cd6\u7684\u6444\u53d6\u5229\u7528\uff0c\u63d0\u9ad8\u80f0\u5c9b\u7d20\u654f\u611f\u6027\uff0c\u6709\u964d\u4f4e\u9ad8\u8840\u7cd6\u7684\u4f5c\u7528\uff0c\u4f46\u4e0d\u964d\u4f4e\u6b63\u5e38\u8840\u7cd6\u3002 ?\u9002\u5e94\u8bc1\uff1a\uff081\uff09PCOS\u4f34\u80f0\u5c9b\u7d20\u62b5\u6297\u7684\u60a3\u8005\uff1b ?\uff082\uff09PCOS\u4e0d\u5b55\u3001\u67b8\u6a7c\u9178\u6c2f\u7c73\u915a\uff08clomiphenecitrate\uff0cCC\uff09\u62b5\u6297\u60a3\u8005\u4fc3\u6027\u817a\u6fc0\u7d20\u4fc3\u6392\u5375\u524d\u7684\u9884\u6cbb\u7597\u3002\u7981\u5fcc\u8bc1\uff1a\u5fc3\u809d\u80be\u529f\u80fd\u4e0d\u5168\u3001\u9157\u9152\u7b49\u3002<\/p>\n

3.\u5421\u683c\u5217\u916e\uff1a\u5421\u683c\u5217\u916e\u4e3a\u567b\u5511\u70f7\u4e8c\u916e\u7c7b\u80f0\u5c9b\u7d20\u589e\u654f\u5242\uff0c\u4e0d\u4ec5\u80fd\u63d0\u9ad8\u80f0\u5c9b\u7d20\u654f\u611f\u6027\uff0c\u8fd8\u5177\u6709\u6539\u5584\u8840\u8102\u4ee3\u8c22\u3001\u6297\u708e\u3001\u4fdd\u62a4\u8840\u7ba1\u5185\u76ae\u7ec6\u80de\u529f\u80fd\u7b49\u4f5c\u7528\uff0c\u8054\u5408\u4e8c\u7532\u53cc\u80cd\u5177\u6709\u534f\u540c\u6cbb\u7597\u6548\u679c\u3002\u5421\u683c\u5217\u916e\u5e38\u4f5c\u4e3a\u53cc\u80cd\u7c7b\u836f\u7269\u7597\u6548\u4e0d\u4f73\u65f6\u7684\u8054\u5408\u7528\u836f\u9009\u62e9\uff0c\u5e38\u7528\u4e8e\u65e0\u751f\u80b2\u8981\u6c42\u7684\u60a3\u8005\u3002<\/p>\n

4.\u963f\u5361\u6ce2\u7cd6\uff1a\u963f\u5361\u6ce2\u7cd6\u662f\u65b0\u578b\u53e3\u670d\u964d\u7cd6\u836f\u3002\u5728\u80a0\u9053\u5185\u7ade\u4e89\u6027\u6291\u5236\u8461\u8404\u7cd6\u82f7\u6c34\u89e3\u9176\u3002\u964d\u4f4e\u591a\u7cd6\u53ca\u8517\u7cd6\u5206\u89e3\u6210\u8461\u8404\u7cd6\uff0c\u4f7f\u7cd6\u7684\u5438\u6536\u76f8\u5e94\u51cf\u7f13\uff0c\u5177\u6709\u4f7f\u9910\u540e\u8840\u7cd6\u964d\u4f4e\u7684\u4f5c\u7528\u3002\u4e00\u822c\u5355\u7528\uff0c\u6216\u4e0e\u5176\u4ed6\u53e3\u670d\u964d\u7cd6\u836f\u6216\u80f0\u5c9b\u7d20\u5408\u7528\u3002\u914d\u5408\u9910\u996e\uff0c\u6cbb\u7597\u80f0\u5c9b\u7d20\u4f9d\u8d56\u578b\u6216\u975e\u4f9d\u8d56\u578b\u7cd6\u5c3f\u75c5\u3002<\/p>\n

\uff08\u4e94\uff09\u4fc3\u8fdb\u751f\u80b2<\/p>\n

1.\u5b55\u524d\u54a8\u8be2\uff1aPCOS\u4e0d\u5b55\u60a3\u8005\u4fc3\u8fdb\u751f\u80b2\u6cbb\u7597\u4e4b\u524d\u5e94\u5148\u5bf9\u592b\u5987\u53cc\u65b9\u8fdb\u884c\u68c0\u67e5\uff0c\u786e\u8ba4\u548c\u5c3d\u91cf\u7ea0\u6b63\u53ef\u80fd\u5f15\u8d77\u751f\u80b2\u5931\u8d25\u7684\u5371\u9669\u56e0\u7d20\uff0c\u5982\u80a5\u80d6\u3001\u672a\u63a7\u5236\u7684\u7cd6\u8010\u91cf\u5f02\u5e38\u3001\u7cd6\u5c3f\u75c5\u3001\u9ad8\u8840\u538b\u7b49\u3002\u5177\u4f53\u63aa\u65bd\u5305\u62ec\u51cf\u8f7b\u4f53\u8d28\u91cf\u3001\u6212\u70df\u9152\u3001\u63a7\u5236\u8840\u7cd6\u8840\u538b\u7b49\uff0c\u5e76\u6307\u51fa\u51cf\u91cd\u662f\u80a5\u80d6PCOS\u4e0d\u5b55\u60a3\u8005\u4fc3\u8fdb\u751f\u80b2\u7684\u57fa\u7840\u6cbb\u7597\u3002\u5728\u4ee3\u8c22\u548c\u5065\u5eb7\u95ee\u9898\u6539\u5584\u540e\u4ecd\u672a\u6392\u5375\u8005\uff0c\u53ef\u4e88\u836f\u7269\u4fc3\u6392\u5375\u3002<\/p>\n

2.\u8bf1\u5bfc\u6392\u5375\uff1a\u9002\u7528\u4e8e\u6709\u751f\u80b2\u8981\u6c42\u4f46\u6301\u7eed\u6027\u65e0\u6392\u5375\u6216\u7a00\u53d1\u6392\u5375\u7684PCOS\u60a3\u8005\u3002\u7528\u836f\u524d\u5e94\u6392\u9664\u5176\u4ed6\u5bfc\u81f4\u4e0d\u5b55\u7684\u56e0\u7d20\u548c\u4e0d\u5b9c\u598a\u5a20\u7684\u75be\u75c5\u3002<\/p>\n

\uff081\uff09CC\uff1a\u4e3aPCOS\u8bf1\u5bfc\u6392\u5375\u7684\u4f20\u7edf\u4e00\u7ebf\u7528\u836f\u3002\u4ece\u81ea\u7136\u6708\u7ecf\u6216\u64a4\u9000\u6027\u51fa\u8840\u7684\u7b2c2\uff5e5\u5929\u5f00\u59cb\uff0c50mg\/d\uff0c\u51715d\uff1b\u5982\u65e0\u6392\u5375\u5219\u6bcf\u5468\u671f\u589e\u52a050mg\uff0c\u76f4\u81f3150mg\/d\u3002\u5982\u5375\u6ce1\u671f\u957f\u6216\u9ec4\u4f53\u671f\u77ed\u63d0\u793a\u5242\u91cf\u53ef\u80fd\u8fc7\u4f4e\uff0c\u53ef\u9002\u5f53\u589e\u52a0\u5242\u91cf\uff1b\u5982\u5375\u5de2\u523a\u6fc0\u8fc7\u5927\u53ef\u51cf\u91cf\u81f325mg\/d\u3002\u5355\u72ecCC\u7528\u836f\u5efa\u8bae\u4e0d\u8d85\u8fc76\u4e2a\u5468\u671f\u3002<\/p>\n

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3.\u8179\u8154\u955c\u5375\u5de2\u6253\u5b54\u672f\uff1a\u8179\u8154\u955c\u5375\u5de2\u6253\u5b54\u672f\uff08laparoscopicovariandrilling\uff0cLOD\uff09\uff0c\u4e0d\u5e38\u89c4\u63a8\u8350\uff0c\u4e3b\u8981\u9002\u7528\u4e8eCC\u62b5\u6297\u3001\u6765\u66f2\u5511\u6cbb\u7597\u65e0\u6548\u3001\u987d\u56fa\u6027LH?\u5206\u6ccc\u8fc7\u591a\u3001\u56e0\u5176\u4ed6\u75be\u75c5\u9700\u8179\u8154\u955c\u68c0\u67e5\u76c6\u8154\u3001\u968f\u8bca\u6761\u4ef6\u5dee\u4e0d\u80fd\u8fdb\u884c\u4fc3\u6027\u817a\u6fc0\u7d20\u6cbb\u7597\u76d1\u6d4b\u8005\u3002\u5efa\u8bae\u9009\u62e9\u4f53\u8d28\u6307\u6570(BMI)\u226434kg\/m2\u3001\u57fa\u7840LH>10U\/L\u3001\u6e38\u79bb\u777e\u916e\u6c34\u5e73\u9ad8\u7684\u60a3\u8005\u4f5c\u4e3aLOD\u7684\u6cbb\u7597\u5bf9\u8c61\u3002LOD\u53ef\u80fd\u51fa\u73b0\u7684\u95ee\u9898\u5305\u62ec\uff1a\u6cbb\u7597\u65e0\u6548\u3001\u76c6\u8154\u7c98\u8fde\u3001\u5375\u5de2\u529f\u80fd\u4e0d\u5168\u7b49\u3002<\/p>\n

4.\u4f53\u5916\u53d7\u7cbe-\u80da\u80ce\u79fb\u690d\uff1a\u4f53\u5916\u53d7\u7cbe-\u80da\u80ce\u79fb\u690d\uff08IVF-ET\uff09\u662fPCOS\u4e0d\u5b55\u60a3\u8005\u7684\u4e09\u7ebf\u6cbb\u7597\u65b9\u6848\u3002PCOS\u60a3\u8005\u7ecf\u4e0a\u8ff0\u6cbb\u7597\u5747\u65e0\u6548\u65f6\u6216\u8005\u5408\u5e76\u5176\u4ed6\u4e0d\u5b55\u56e0\u7d20\uff08\u5982\u9ad8\u9f84\u3001\u8f93\u5375\u7ba1\u56e0\u7d20\u6216\u7537\u6027\u56e0\u7d20\u7b49\uff09\u65f6\u9700\u91c7\u7528IVF\u6cbb\u7597\u3002<\/p>\n

\uff081\uff09\u63a7\u5236\u6027\u5375\u5de2\u523a\u6fc0\uff08controlledovarianhyperstimulation\uff0cCOH\uff09\u65b9\u6848\uff1aPCOS\u662fOHSS\u7684\u9ad8\u98ce\u9669\u4eba\u7fa4\uff0c\u4f20\u7edf\u7684\u957f\u65b9\u6848\u4e0d\u4f5c\u4e3a\u9996\u9009\u3002<\/p>\n

\u2460\u4fc3\u6027\u817a\u6fc0\u7d20\u91ca\u653e\u6fc0\u7d20\uff08GnRH\uff09\u62ee\u6297\u5242\uff08GnRH-antagonist\uff09\u65b9\u6848\uff1a\u5728\u5375\u6ce1\u671f\u5148\u6dfb\u52a0\u5916\u6e90\u6027\u4fc3\u6027\u817a\u6fc0\u7d20\uff0c\u4fc3\u8fdb\u5375\u6ce1\u7684\u751f\u957f\u53d1\u80b2\uff0c\u5f53\u4f18\u52bf\u5375\u6ce1\u76f4\u5f84> 12\uff5e14mm\u6216\u8005\u8840\u6e05\u96cc\u4e8c\u9187>1830pmol\/L\uff08\u7075\u6d3b\u65b9\u6848\uff09\uff0c\u6216\u4fc3\u6027\u817a\u6fc0\u7d20\u4f7f\u7528\u540e\u7684\u7b2c5\u62166\u5929\uff08\u56fa\u5b9a\u65b9\u6848\uff09\u5f00\u59cb\u6dfb\u52a0GnRH\u62ee\u6297\u5242\u76f4\u81f3\u201c\u89e6\u53d1\uff08trigger\uff09\u201d\u65e5\u3002\u4e3a\u907f\u514dPCOS\u60a3\u8005\u53d1\u751f\u65e9\u53d1\u578b\u548c\u665a\u53d1\u578bOHSS\uff0cGnRH?\u62ee\u6297\u5242\u65b9\u6848\u8054\u5408\u4fc3\u6027\u817a\u6fc0\u7d20\u91ca\u653e\u6fc0\u7d20\u6fc0\u52a8\u5242\uff08GnRH-a\uff09\u89e6\u53d1\uff0c\u540c\u65f6\u8fdb\u884c\u5168\u80da\u51b7\u51bb\u6216\u5375\u6bcd\u7ec6\u80de\u51b7\u51bb\u662f\u6709\u6548\u7684\u7b56\u7565\u3002<\/p>\n

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5.\u4f53\u5916\u6210\u719f\u57f9\u517b\uff1a\u672a\u6210\u719f\u5375\u6bcd\u7ec6\u80de\u4f53\u5916\u6210\u719f\uff08invitromaturation\uff0cIVM\uff09\u6280\u672f\u5728PCOS\u60a3\u8005\u8f85\u52a9\u751f\u6b96\u6cbb\u7597\u4e2d\u7684\u5e94\u7528\u4ecd\u6709\u4e89\u8bae\u3002IVM\u5728PCOS\u60a3\u8005\u8f85\u52a9\u751f\u6b96\u6cbb\u7597\u4e2d\u7684\u4e3b\u8981\u9002\u5e94\u8bc1\u4e3a\uff1a\uff081\uff09\u5bf9\u4fc3\u6392\u5375\u836f\u7269\u4e0d\u654f\u611f\uff0c\u5982\u5bf9CC\u62b5\u6297\u3001\u5bf9\u4f4e\u5242\u91cf\u4fc3\u6027\u817a\u6fc0\u7d20\u957f\u65f6\u95f4\u4e0d\u53cd\u5e94\uff0c\u800c\u5bfc\u81f4\u5375\u6ce1\u53d1\u80b2\u6216\u751f\u957f\u65f6\u95f4\u8fc7\u957f\u3002\uff082\uff09\u65e2\u5f80\u5728\u5e38\u89c4\u4f4e\u5242\u91cf\u7684\u4fc3\u6027\u817a\u6fc0\u7d20\u4f5c\u7528\u4e0b\uff0c\u53d1\u751f\u8fc7\u4e2d\u91cd\u5ea6OHSS\u7684\u60a3\u8005\u3002<\/p>\n

6.\u80f0\u5c9b\u7d20\u589e\u654f\u5242\u5728\u8f85\u52a9\u751f\u6b96\u6cbb\u7597\u4e2d\u7684\u5e94\u7528\uff1a\u63a8\u8350\u5728PCOS\u60a3\u8005\u8f85\u52a9\u751f\u6b96\u6cbb\u7597\u8fc7\u7a0b\u4e2d\u4f7f\u7528\u4e8c\u7532\u53cc\u80cd\u3002\u4e8c\u7532\u53cc\u80cd\u76ee\u524d\u5728\u6cbb\u7597PCOS\u4e2d\u7684\u65b9\u6848\u6709\uff1a\uff081\uff09\u5355\u72ec\u5e94\u7528\uff1a\u9002\u7528\u4e8e\u975e\u80a5\u80d6\u7684PCOS\u60a3\u8005\uff08BMI<30kg\/m2\uff09\uff1b\uff082\uff09\u4e0eCC\u8054\u5408\u5e94\u7528\uff1a\u9002\u7528\u4e8e\u80a5\u80d6\u7684PCOS\u60a3\u8005\uff1b\uff083\uff09\u4e0e\u4fc3\u6027\u817a\u6fc0\u7d20\uff08hMG\u6216rFSH\uff09\u8054\u5408\u5e94\u7528\uff1b\uff084\uff09\u4e0eCC?\u6216\u4fc3\u6027\u817a\u6fc0\u7d20\u8054\u5408\u5e94\u7528\uff1a\u9002\u7528\u4e8eCC\u62b5\u6297\u60a3\u8005\u3002<\/p>\n

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