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本文引用的文献

1
Clinical practice guidelines for the care of girls and women with Turner syndrome.特纳综合征患者的护理临床实践指南。
Eur J Endocrinol. 2024 Jun 5;190(6):G53-G151. doi: 10.1093/ejendo/lvae050.
2
Navigating fertility dilemmas across the lifespan in girls with Turner syndrome-a scoping review.特纳综合征女性在整个生命周期中面临的生育困境:一项范围综述。
Hum Reprod Update. 2024 Jul 1;30(4):383-409. doi: 10.1093/humupd/dmae005.
3
Mosaic Turner Syndrome With Multiple Spontaneous Pregnancies: A Case Report.伴有多次自然妊娠的嵌合型特纳综合征:一例报告
Cureus. 2024 Jan 31;16(1):e53351. doi: 10.7759/cureus.53351. eCollection 2024 Jan.
4
Risk assessment for aortic dissection in Turner syndrome: The role of the aortic growth rate.Turner 综合征患者主动脉夹层的风险评估:主动脉生长速度的作用。
Clin Endocrinol (Oxf). 2024 Mar;100(3):269-276. doi: 10.1111/cen.15017. Epub 2024 Jan 12.
5
Growth Hormone Treatment to Final Height in Turner Syndrome: Systematic Review.特纳综合征患者的生长激素治疗至最终身高:系统评价。
Clin Ther. 2024 Feb;46(2):146-153. doi: 10.1016/j.clinthera.2023.12.004. Epub 2023 Dec 26.
6
Reproductive health in Turner's syndrome: from puberty to pregnancy.特纳综合征的生殖健康:从青春期到妊娠。
Front Endocrinol (Lausanne). 2023 Dec 5;14:1269009. doi: 10.3389/fendo.2023.1269009. eCollection 2023.
7
Effect of Growth Hormone and Estrogen Replacement Therapy on Bone Mineral Density in Women with Turner Syndrome: A Meta-Analysis and Systematic Review.生长激素与雌激素替代疗法对特纳综合征女性骨密度的影响:一项荟萃分析与系统评价
Pharmaceuticals (Basel). 2023 Sep 19;16(9):1320. doi: 10.3390/ph16091320.
8
An Observational Study on Response to Growth Hormone Therapy in Indian Patients of Short Stature with Special Emphasis on Biochemical Parameters and Bone Biomarkers.一项关于印度身材矮小患者生长激素治疗反应的观察性研究,特别关注生化参数和骨生物标志物。
Indian J Endocrinol Metab. 2023 May-Jun;27(3):260-269. doi: 10.4103/ijem.ijem_303_22. Epub 2023 Jun 26.
9
Growth hormone therapy is associated with improved uterine dimensions in girls with Turner syndrome prior to oestrogen replacement.生长激素治疗可改善特纳综合征女孩雌激素替代治疗前的子宫大小。
Clin Endocrinol (Oxf). 2024 Jan;100(1):66-75. doi: 10.1111/cen.14957. Epub 2023 Aug 9.
10
Normalization of puberty and adult height in girls with Turner syndrome: results of the Swedish Growth Hormone trials initiating transition into adulthood.特纳综合征女童青春期和成人身高的正常化:启动成年期过渡的瑞典生长激素试验结果。
Front Endocrinol (Lausanne). 2023 Jul 17;14:1197897. doi: 10.3389/fendo.2023.1197897. eCollection 2023.

[关于特纳综合征临床诊断与管理的思考]

[Reflections on the clinical diagnosis and management of Turner syndrome].

作者信息

Gu Wei, Zhao Xue

机构信息

Department of Endocrinology, Genetics and Metabolism, Children's Hospital of Nanjing Medical University, Nanjing 210008, China.

出版信息

Zhongguo Dang Dai Er Ke Za Zhi. 2024 Nov 15;26(11):1135-1140. doi: 10.7499/j.issn.1008-8830.2407176.

DOI:10.7499/j.issn.1008-8830.2407176
PMID:39587740
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11601105/
Abstract

There is a delay in the clinical diagnosis of Turner syndrome (TS), particularly for patients with mosaic karyotypes. This diagnostic delay can hinder age-appropriate treatments and lead to adverse health outcomes. Therefore, it is necessary to explore improvement measures for early diagnosis and treatment plans based on the current clinical situation. Furthermore, as research progresses, the focus of clinical diagnosis and treatment of TS is gradually expanding to multiple aspects, including cardiovascular health, fertility, and transitional care, in order to improve the prognosis and quality of life of the patients. This paper discusses the current clinical status and management key points of TS diagnosis and treatment, aiming to provide insights for improving the management of TS.

摘要

特纳综合征(TS)的临床诊断存在延迟,尤其是对于嵌合核型的患者。这种诊断延迟会阻碍适龄治疗并导致不良健康后果。因此,有必要根据当前临床情况探索早期诊断和治疗方案的改进措施。此外,随着研究的进展,TS临床诊断和治疗的重点正逐渐扩展到心血管健康、生育能力和过渡性护理等多个方面,以改善患者的预后和生活质量。本文讨论了TS诊断和治疗的当前临床状况及管理要点,旨在为改善TS的管理提供见解。