多囊卵巢综合征诊断与治疗的新进展

多囊卵巢综合征(PCOS)的发病机制目前仍不完全清楚,临床主要表现为月经失调、排卵障碍、肥胖等。该病的诊断标准尚存争议,大多认为鹿特丹准则比较适用于我国PCOS的诊断。治疗方法也繁多各异,包括非手术治疗(调整月经周期、促排卵治疗、应用胰岛素增敏剂和他汀类药物)、手术治疗(卵巢楔形切除术、经阴道超声引导的卵巢间质水凝术)和中西医结合治疗。

Recent Progress of Diagnosis and Treatment in Polycystic Ovary Syndrome

The pathogenesis of polycystic ovary syndrome(PCOS)is still not entirely clear at present;clinical manifestations include menstrual disorders,anovulation,obesity and so on.Diagnostic criteria for the disease are still controversial,most considering that Rotterdam criteria is more suitable for the diagnosis of PCOS in China.There are a variety of treatments as well,including non-surgical treatment(adjusting menstrual cycle,ovulation induction treatment,insulin sensitizers and statins),surgery(ovarian wedge resection,ultrasound-guided transvaginal ovarian interstitial hydrogel surgery)and integrated traditional Chinese and western medicine therapy.