Mazgaj Maciej
Zakład Diagnostyki Obrazowej, Dziecięcy Szpital Kliniczny w Lublinie, Lublin, Polska.
J Ultrason. 2013 Dec;13(55):418-24. doi: 10.15557/JoU.2013.0044. Epub 2013 Dec 30.
Precocious puberty constitutes a significant clinical problem due to psychological implications and health concerns as well as consequences associated with girls' fertility. Self-acceptance, peer approval, early motherhood and future fertility - these are only a few issues associated with puberty, the disorders of which may have a negative influence on personality and health. The role of imaging is to determine the causes of early activation of the puberty process, to identify lesions responsible for abnormal sex hormone production and those which are the result of underlying hormonal disorders as well as to diagnose the processes which only mimic symptoms of precocious puberty. Out of all available imaging methods, sonography, thanks to its safety, availability and low cost, seems to be the best method to assess the breasts and internal organs of patients manifesting symptoms of precocious puberty both in early diagnosis and follow-up examinations. Apart from the technique of performing ultrasound examinations, the paper also explains its role in precocious puberty in girls, describes correct parameters of the organs which play the most significant role in the process of puberty as well as presents the features of changes responsible for or resulting from hormonal disorders.
性早熟是一个重大的临床问题,因为它会带来心理影响、引发健康问题,还会对女孩的生育能力产生后果。自我接纳、同伴认可、过早生育以及未来生育能力——这些只是与青春期相关的部分问题,青春期紊乱可能会对性格和健康产生负面影响。影像学的作用是确定青春期进程过早启动的原因,识别导致性激素异常分泌的病变以及那些由潜在激素紊乱引起的病变,同时诊断那些仅模仿性早熟症状的过程。在所有可用的影像学方法中,超声检查因其安全性、可及性和低成本,似乎是在早期诊断和后续检查中评估出现性早熟症状患者的乳房和内脏的最佳方法。除了超声检查的操作技术外,本文还解释了其在女孩性早熟中的作用,描述了在青春期进程中起最重要作用的器官的正确参数,以及呈现了由激素紊乱引起或导致激素紊乱的变化特征。