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[盆腔超声检查在中枢性性早熟的诊断、治疗指征及监测中的作用]

[Role of pelvic ultrasonography in the diagnosis, therapeutic indications and surveillance of central precocious puberty].

作者信息

Brauner R, Hauschild M C, Pariente D, Thibaud E, Rappaport R

出版信息

Arch Fr Pediatr. 1986 Oct;43(8):601-6.

PMID:3101645
Abstract

The use of pelvic ultrasonography was evaluated as a diagnostic and follow-up tool in girls with precocious puberty. Before treatment 23 of 33 patients with central precocious puberty presented an increased size of the uterus. In 10 cases with prepubertal size of the uterus, the precocious puberty was only beginning or of mild severity. During treatment with a LHRH analogue, changes in uterine size were slow in spite of a satisfactory and rapid control of estrogen secretion. At onset of treatment, transient ovarian cysts were seen in 2 patients. In our experience, pelvic ultrasonography did not provide significant information on the control of the disease by LHRH analogue therapy. Of 16 girls with presumed premature thelarche, 3 presented signs of estrogenic stimulation of the uterus. It remains a useful technique to rule out the presence of ovarian cysts or tumors at time of diagnosis.

摘要

对盆腔超声检查作为性早熟女孩的诊断及随访工具进行了评估。在治疗前,33例中枢性性早熟患者中有23例子宫大小增加。10例子宫大小处于青春期前水平的患者,其性早熟仅处于开始阶段或程度较轻。在用促性腺激素释放激素(LHRH)类似物治疗期间,尽管雌激素分泌得到了满意且迅速的控制,但子宫大小的变化缓慢。治疗开始时,2例患者出现了短暂的卵巢囊肿。根据我们的经验,盆腔超声检查对于LHRH类似物治疗疾病的控制情况并未提供重要信息。在16例疑似单纯性乳房早发育的女孩中,3例出现了子宫受雌激素刺激的迹象。在诊断时,它仍然是排除卵巢囊肿或肿瘤存在的有用技术。

相似文献

1
[Role of pelvic ultrasonography in the diagnosis, therapeutic indications and surveillance of central precocious puberty].[盆腔超声检查在中枢性性早熟的诊断、治疗指征及监测中的作用]
Arch Fr Pediatr. 1986 Oct;43(8):601-6.
2
Ultrasonic diagnosis of gynecologic disorders in children.儿童妇科疾病的超声诊断
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3
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Contracept Fertil Sex. 1994 Mar;22(3):173-7.
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Role of pelvic ultrasound in girls with precocious puberty.盆腔超声在性早熟女童中的作用。
Horm Res Paediatr. 2011 Feb;75(2):148-52. doi: 10.1159/000323361. Epub 2011 Jan 12.
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Ultrasonography in pediatric gynecology and obstetrics.
AJR Am J Roentgenol. 1977 Mar;128(3):423-9. doi: 10.2214/ajr.128.3.423.
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[Precocious puberty in girls].
Rev Fr Gynecol Obstet. 1986 Sep 20;81(9):441-3.
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Pathogenesis and management of abnormal puberty.青春期异常的发病机制与管理
Spec Top Endocrinol Metab. 1985;7:175-236.
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[Treatment of central precocious puberty with an LHRH analog. Effect on growth and bone maturation after 2 years of treatment].[促性腺激素释放激素类似物治疗中枢性性早熟。治疗2年后对生长和骨成熟的影响]
Arch Fr Pediatr. 1987 Apr;44(4):271-6.
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[Pelvic echography in the differential diagnosis of isolated precocious thelarche and true precocious puberty].[盆腔超声检查在单纯性乳房早发育与真性性早熟鉴别诊断中的应用]
Minerva Pediatr. 1988 May;40(5):269-72.
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Auxological outcome and time to menarche following long-acting goserelin therapy in girls with central precocious or early puberty.长效戈舍瑞林治疗中枢性性早熟或青春期过早女童的体格发育结果及月经初潮时间
Clin Endocrinol (Oxf). 2004 Nov;61(5):626-34. doi: 10.1111/j.1365-2265.2004.02146.x.

引用本文的文献

1
The role of pelvic ultrasound for the diagnosis and management of central precocious puberty: An update.盆腔超声在中枢性性早熟的诊断和治疗中的作用:更新。
Acta Biomed. 2021 Nov 4;92(5):e2021480. doi: 10.23750/abm.v92i5.12295.