月经过少和/或多毛症的病因学：对467例患者的研究。
The aetiology of oligomenorrhoea and/or hirsuties: a study of 467 patients.
作者信息
Ferriman D, Purdie A W
出版信息
Postgrad Med J. 1983 Jan;59(687):17-20. doi: 10.1136/pgmj.59.687.17.
Abstract
An analysis of 467 patients with oligomenorrhoea and/or hirsuties in respect to duration of the menstrual cycle, body hair growth, ovarian size and the presence of psychological factors has revealed some useful pointers to diagnosis in this syndrome. Some 70% probably suffered from polycystic ovarian disease. Hirsuties and post-pill amenorrhoea are strong pointers to such a diagnosis. Some 10% of the cases may have been psychogenic in origin and are notably found among non-hirsute patients with normal sized ovaries. Another 10% may have been physiological in nature. All other disorders accounted for no more than 10% of the cases. Anorexia nervosa and ovarian dysgenesis are particularly to be found among amenorrhoeic, non-hirsute patients with normal sized (or small) ovaries accounting for no less than 37% of this group in our series.
摘要
对467例月经过少和/或多毛患者的月经周期时长、体毛生长、卵巢大小及心理因素进行分析后，发现了该综合征诊断的一些有用线索。约70%的患者可能患有多囊卵巢疾病。多毛和停药后闭经是该诊断的有力线索。约10%的病例可能源于心理因素，尤其见于卵巢大小正常的非多毛患者。另外10%可能为生理性的。所有其他病症占病例总数不超过10%。神经性厌食和卵巢发育不全尤其见于闭经、非多毛且卵巢大小正常（或较小）的患者，在我们的系列研究中，这类患者占该组的比例不少于37%。
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本文引用的文献
1
Thermal Changes in the Normal Menstrual Cycle.正常月经周期中的体温变化。
Br Med J. 1963 Jan 12;1(5323):102-4. doi: 10.1136/bmj.1.5323.102.
2
ASSOCIATION OF OLIGOMENORRHOEA, HIRSUTIES, AND INFERTILITY.月经过少、多毛症与不孕症的关联
Br Med J. 1965 Jul 10;2(5453):69-72. doi: 10.1136/bmj.2.5453.69.
3
Clinical assessment of body hair growth in women.女性体毛生长的临床评估
J Clin Endocrinol Metab. 1961 Nov;21:1440-7. doi: 10.1210/jcem-21-11-1440.
4
Polycystic ovarian disease. A report of 301 patients.多囊卵巢疾病。301例患者的报告。
Am J Obstet Gynecol. 1965 Dec 1;93(7):994-1001. doi: 10.1016/0002-9378(65)90161-4.
5
Amenorrhea and infertility after the use of oral contraceptives.使用口服避孕药后的闭经和不孕。
Surg Gynecol Obstet. 1974 Apr;138(4):571-5.
6
Incidence and significance of hyperprolactinaemia in women with amenorrhea.闭经女性高泌乳素血症的发病率及意义
Clin Endocrinol (Oxf). 1975 Nov;4(6):597-607. doi: 10.1111/j.1365-2265.1975.tb01929.x.
7
Raised serum prolactin levels in amenorrhoea.闭经患者血清催乳素水平升高。
Br Med J. 1975 May 10;2(5966):305-6. doi: 10.1136/bmj.2.5966.305.
8
The inheritance of polycystic ovarian disease and a possible relationship to premature balding.多囊卵巢疾病的遗传及其与早秃的可能关系。
Clin Endocrinol (Oxf). 1979 Sep;11(3):291-300. doi: 10.1111/j.1365-2265.1979.tb03077.x.
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