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接受和未接受雄激素治疗的特纳综合征患者的成人身高。

Adult height in Turner syndrome with and without androgen therapy.

作者信息

Sybert V P

出版信息

J Pediatr. 1984 Mar;104(3):365-9. doi: 10.1016/s0022-3476(84)81096-3.

DOI:10.1016/s0022-3476(84)81096-3
PMID:6707791
Abstract

Adult heights of 66 individuals with karyotype documentation of Turner syndrome were analyzed. The mean adult height of 29 individuals given growth-promoting hormones, oxandrolone or fluoxymesterone, did not differ significantly from that of 37 untreated subjects (148.1 +/- 4.7 vs 146.3 +/- 5.5 cm, respectively). The type of X chromosome abnormality did not influence the mean adult height. No significant deleterious effect on height was seen with earlier induction of puberty with estrogens. Parental heights did not appear to influence final adult height. Based on this study, the use of androgens to increase adult height in Turner syndrome cannot be recommended and there appears to be no benefit in delaying induction of puberty with exogenous hormones beyond the mid-teens (14 to 16 years).

摘要

对66例有核型记录的特纳综合征患者的成人身高进行了分析。给予生长促进激素、氧雄龙或氟甲睾酮的29例患者的平均成人身高与37例未治疗患者的平均成人身高相比无显著差异(分别为148.1±4.7厘米和146.3±5.5厘米)。X染色体异常的类型不影响平均成人身高。雌激素较早诱导青春期对身高未见明显有害影响。父母身高似乎不影响最终成人身高。基于这项研究,不建议使用雄激素来增加特纳综合征患者的成人身高,而且在青少年中期(14至16岁)之后使用外源激素延迟青春期诱导似乎没有益处。

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1
Adult height in Turner syndrome with and without androgen therapy.接受和未接受雄激素治疗的特纳综合征患者的成人身高。
J Pediatr. 1984 Mar;104(3):365-9. doi: 10.1016/s0022-3476(84)81096-3.
2
Linear growth in patients with Turner syndrome: influence of spontaneous puberty and parental height.特纳综合征患者的线性生长:自然青春期和父母身高的影响
Eur J Pediatr. 1990 Jan;149(4):246-50. doi: 10.1007/BF02106283.
3
Adult height in girls with Turner syndrome treated with low-dose estrogens and androgens.接受低剂量雌激素和雄激素治疗的特纳综合征女孩的成人身高。
Ann Pharmacother. 1994 May;28(5):570-1. doi: 10.1177/106002809402800502.
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[Optimizing estrogen treatment in Turner syndrome].[优化特纳综合征的雌激素治疗]
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Final height of patients with Turner's syndrome treated with growth hormone (GH): indications for GH therapy alone at high doses and late estrogen therapy. Italian Study Group for Turner Syndrome.生长激素(GH)治疗特纳综合征患者的最终身高:高剂量单独使用GH及晚期雌激素治疗的指征。意大利特纳综合征研究组
J Clin Endocrinol Metab. 1999 Dec;84(12):4510-5. doi: 10.1210/jcem.84.12.6175.
6
Androgens, estrogens, and the ultimate height in XO gonadal dysgenesis.雄激素、雌激素与XO性腺发育不全患者的最终身高
Am J Dis Child. 1977 Jun;131(6):648-9. doi: 10.1001/archpedi.1977.02120190042008.
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Body height and dental development in patients with Turner's syndrome.特纳综合征患者的身高和牙齿发育
Helv Paediatr Acta. 1974;Suppl 34:33-46.
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Oxandrolone therapy in patients with Turner syndrome.特纳综合征患者的氧雄龙治疗
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9
Final height in estrogen-treated patients with Turner syndrome.
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Efficacy and safety of oxandrolone in growth hormone-treated girls with turner syndrome.生长激素治疗特纳综合征女孩中奥沙利酮的疗效和安全性。
J Clin Endocrinol Metab. 2010 Mar;95(3):1151-60. doi: 10.1210/jc.2009-1821. Epub 2010 Jan 8.

引用本文的文献

1
Height outcome of the recombinant human growth hormone treatment in Turner syndrome: a meta-analysis.特纳综合征患者重组人生长激素治疗的身高结局:一项荟萃分析。
Endocr Connect. 2018 Apr;7(4):573-583. doi: 10.1530/EC-18-0115. Epub 2018 Mar 26.
2
Malformation syndromes associated with disorders of sex development.性发育障碍相关的畸形综合征。
Nat Rev Endocrinol. 2014 Aug;10(8):476-87. doi: 10.1038/nrendo.2014.83. Epub 2014 Jun 10.
3
Sex hormone replacement in Turner syndrome.特纳综合征的性激素替代治疗。
Endocrine. 2012 Apr;41(2):200-19. doi: 10.1007/s12020-011-9569-8. Epub 2011 Dec 7.
4
Sex chromosome aberrations and stature: deduction of the principal factors involved in the determination of adult height.性染色体畸变与身高:推导成年身高决定中的主要影响因素。
Hum Genet. 1993 Jul;91(6):551-62. doi: 10.1007/BF00205079.
5
Turner syndrome: final height, glucose tolerance, bone density and psychosocial status in 25 adult patients.
Eur J Pediatr. 1994 Jan;153(1):11-6. doi: 10.1007/BF02000780.
6
Normal growth and normalization of hypergonadotropic hypogonadism in atypical Turner syndrome (45,X/46,XX/47,XXX). Correlation of body height with distribution of cell lines.非典型特纳综合征(45,X/46,XX/47,XXX)中促性腺激素分泌过多性性腺功能减退的正常生长及恢复正常。身高与细胞系分布的相关性。
Eur J Pediatr. 1994 Jun;153(6):451-5. doi: 10.1007/BF01983411.
7
Treatment of patients with Ullrich-Turner syndrome with conventional doses of growth hormone and the combination with testosterone or oxandrolone: effect on growth, IGF-I and IGFBP-3 concentrations.用常规剂量生长激素治疗乌尔里希-特纳综合征患者以及联合使用睾酮或氧雄龙:对生长、胰岛素样生长因子-I(IGF-I)和胰岛素样生长因子结合蛋白-3(IGFBP-3)浓度的影响
Eur J Pediatr. 1995 Jun;154(6):437-44. doi: 10.1007/BF02029351.
8
Pseudotumour cerebri and the Turner syndrome.假性脑瘤与特纳综合征。
J Neurol Neurosurg Psychiatry. 1985 Feb;48(2):164-6. doi: 10.1136/jnnp.48.2.164.
9
Growth hormone treatment in Turner syndrome accelerates growth and skeletal maturation. Dutch Growth Hormone Working Group.特纳综合征的生长激素治疗可加速生长和骨骼成熟。荷兰生长激素工作组。
Eur J Pediatr. 1992 Jul;151(7):477-81. doi: 10.1007/BF01957747.