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[高催乳素血症性闭经。临床相关性、内分泌特征、治疗(作者译)]

[Hyperprolactinemic amenorrhea. Clinical relevance, endocrine features, therapy (author's transl)].

作者信息

Rjosk H K, Werder K, Fahlbusch R

出版信息

Geburtshilfe Frauenheilkd. 1976 Jul;36(7):575-87.

PMID:986336
Abstract
  1. Hyperprolactinemia was found in 73 out of 445 patients as the underlying cause of primary or secondary amenorrhea, There was only in 65 cases both amenorrhea and galactorrhea. 2. Pituitary tumors were found in 21 cases. The causes of hyperprolactinemia in the other patients remained unclear. 3. Concentration of LH and FSH in serum was normal or lowered. Stimulation of LH and FSH by LHRH was possible only in part. 4. Regardless of the cause of hyperprolactinemia in all patients hPRL-levels were lowered significantly by 2.5 mg CB 154 within 4 hours. 5. Longtime suppression of hPRL by CB 154 normalized LH- and FSH- concentrations in serum and its response to LHRH. 6. Ovulatory cycles were observed in all cases treated by CB 154 (N = 25), 11 patients became pregnant.
摘要
  1. 在445例原发性或继发性闭经患者中,发现73例存在高催乳素血症,其中仅65例同时出现闭经和溢乳。2. 发现21例患有垂体肿瘤。其他患者高催乳素血症的病因仍不清楚。3. 血清中促黄体生成素(LH)和促卵泡生成素(FSH)浓度正常或降低。促性腺激素释放激素(LHRH)对LH和FSH的刺激仅部分有效。4. 无论高催乳素血症的病因如何,所有患者在4小时内给予2.5毫克甲磺酸溴隐亭(CB 154)后,人催乳素(hPRL)水平均显著降低。5. 甲磺酸溴隐亭(CB 154)对hPRL的长期抑制作用使血清中LH和FSH浓度及其对LHRH的反应恢复正常。6. 在所有接受甲磺酸溴隐亭(CB 154)治疗的病例(N = 25)中均观察到排卵周期,11例患者怀孕。

相似文献

1
[Hyperprolactinemic amenorrhea. Clinical relevance, endocrine features, therapy (author's transl)].[高催乳素血症性闭经。临床相关性、内分泌特征、治疗(作者译)]
Geburtshilfe Frauenheilkd. 1976 Jul;36(7):575-87.
2
[Hyper- and normoprolactinaemia with amenorrhea and galactorrhea-amenorrhea-syndrom (author's transl)].
Med Klin. 1979 Sep 7;74(36):1273-8.
3
Hyperprolactinemia in cases of infertility and amenorrhea.不孕症和闭经病例中的高催乳素血症。
Acta Obstet Gynecol Scand. 1980;59(2):137-41. doi: 10.3109/00016348009154630.
4
[Hyperprolactinemia and primary amenorrhea].[高催乳素血症与原发性闭经]
Jugosl Ginekol Opstet. 1979 Sep-Dec;19(5-6):249-52.
5
[Yellow body function in bromocryptine induced early pregnancy in patients with hyperprolactinemia (author's transl)].溴隐亭对高催乳素血症患者早期妊娠黄体功能的影响(作者译)
Jugosl Ginekol Opstet. 1981 May-Aug;21(3-4):65-9.
6
Significance of hyperprolactinemia in 70 women with amenorrhea.
Isr J Med Sci. 1978 Jul;14(7):753-61.
7
[Variations of the plasma levels of gonadotrophins (FSH and LH) and of its response to stimulation with gonadotrophin releasing hormone (GnRH) with different plasma levels of prolactin (PRL) in women with the syndrome of galactorrhea-amenorrhea (author's transl)].[溢乳-闭经综合征女性中不同催乳素(PRL)血浆水平下促性腺激素(FSH和LH)的血浆水平变化及其对促性腺激素释放激素(GnRH)刺激的反应(作者译)]
Med Clin (Barc). 1981 Feb 25;76(4):164-8.
8
Failure of bromocriptine to suppress prolactin in majeptil-induced hyperprolactinemia.溴隐亭未能抑制马普替林所致高催乳素血症中的催乳素。
Acta Eur Fertil. 1978 Dec;9(4):185-8.
9
Effect of bromo-ergocryptine on serum hPRL, hLH, hFSH, and estradiol 17-beta in women with galactorrhea-amenorrhea.溴隐亭对闭经溢乳综合征女性血清人泌乳素、人促黄体生成素、人促卵泡成熟激素及雌二醇-17β的影响。
Obstet Gynecol. 1976 Jul;48(1):84-9.
10
Partial hypopituitarism and hyperprolactinemia: successful induction of ovulation with bromocriptine and human menopausal gonadotropins.部分垂体功能减退症和高泌乳素血症:溴隐亭与人绝经期促性腺激素成功诱导排卵。
Fertil Steril. 1982 Oct;38(4):415-8. doi: 10.1016/s0015-0282(16)46573-8.

引用本文的文献

1
Treatment of patients with prolactinomas.泌乳素瘤患者的治疗。
J Endocrinol Invest. 1978 Jan;1(1):47-58. doi: 10.1007/BF03346770.
2
Prolactin oversuppression.催乳素过度抑制
Arch Gynakol. 1977 Oct 28;223(3):173-8. doi: 10.1007/BF00667386.
3
[Hyperprolactinemia and sterility].[高催乳素血症与不育症]
Arch Gynecol. 1979 Jul 20;228(1-4):518-30.
4
[Human prolactin (author's transl)].[人催乳素(作者译)]
Klin Wochenschr. 1979 Jan 1;57(1):1-12. doi: 10.1007/BF01476976.
5
Hyperprolactinemia in anovulatory women. Incidence and endocrine features.无排卵女性的高催乳素血症。发病率及内分泌特征。
J Endocrinol Invest. 1979 Jan-Mar;2(1):5-11. doi: 10.1007/BF03349269.