多囊卵巢综合征 (PCOS):全面回顾

Shivaleela S. Sarawad
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摘要

多囊卵巢综合征(PCOS)是一种影响育龄人群的常见内分泌疾病,具有临床、激素和代谢等多方面的特征。这篇综述文章旨在全面概述多囊卵巢综合征的流行病学、病因、临床表现、诊断标准和治疗选择。据估计,多囊卵巢综合征在全球育龄妇女中的发病率为 5%-20%。众所周知,该综合征性质复杂,既有遗传倾向,又受环境影响。月经异常、高雄激素和超声波显示多囊卵巢形态是常见的临床症状。目前已有多套诊断标准,如鹿特丹标准和美国国立卫生研究院标准,但准确诊断仍然至关重要。多囊卵巢综合症患者更容易出现胰岛素抵抗、血脂异常和肥胖等代谢性疾病。对健康的长期影响包括增加罹患 2 型糖尿病、心血管疾病和不孕症的风险。改善荷尔蒙失调、代谢异常和生育结果是治疗干预的主要目标,治疗干预根据患者的表现和目标进行个体化,包括改变生活方式和药物治疗。本综述收集了最新的研究成果和临床见解,以提高医疗保健专业人员对多囊卵巢综合症的认识。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Polycystic Ovary Syndrome (PCOS): A Comprehensive Review
Polycystic Ovary Syndrome (PCOS) is a prevalent endocrine illness that affects people of reproductive age and is characterized by a variety of clinical, hormonal, and metabolic aspects. This review article aims to provide a comprehensive overview of the PCOS epidemiology, aetiology, clinical presentation, diagnostic standards, and therapeutic choices. Worldwide estimates of PCOS prevalence among women of reproductive age range from 5% to 20%. This syndrome is well known for being complex in nature, encompassing both genetic predisposition and environmental influences. Menstrual abnormalities, hyperandrogenism, and an ultrasound showing polycystic ovarian morphology are frequent clinical symptoms. Several sets of diagnostic criteria, such as the Rotterdam criteria and the National Institutes of Health standards, are available, but accurate diagnosis is still essential. Insulin resistance, dyslipidemia, and obesity are among the metabolic disorders that are more likely to develop in people with PCOS. Long-term health effects include an increased risk of type 2 diabetes, cardiovascular disease, and infertility. Improvements in hormonal imbalances, metabolic abnormalities, and fertility outcomes are the main goals of therapeutic interventions, which are individualized to the patient's presentation and goals and include both lifestyle changes and pharmaceutical therapies. this review collects the most recent research results and clinical insights to enhance the understanding of PCOS among healthcare professionals.
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