国际生殖健康/计划生育杂志

国际生殖健康/计划生育 ›› 2011, Vol. 30 ›› Issue (5): 405-408.

• 标准与指南 • 上一篇    下一篇

多囊卵巢综合征诊断标准和诊疗指南介绍

崔琳琳 ,陈子江   

  1. 250021 济南，山东大学附属省立医院生殖医学中心、国家辅助生殖与优生工程技术研究中心、生殖内分泌教育部重点实验室、山东省生殖医学重点实验室
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2011-09-15 发布日期:2011-09-15
  • 通讯作者: 陈子江

Diagnosis Criteria and Guidelines for the Diagnosis and Treatment of PCOS

CUI Lin-lin， CHEN Zi-jiang   

  1. Center for Reproductive Medicine，Provincial Hospital Affiliated to Shandong University，National Research Center for Assisted Reproductive Technology and Reproductive Genetics， the Key Laboratory for Reproductive Endocrinology of Ministry of Education， Shandong Provincial Key Laboratory of Reproductiv
  • Received:1900-01-01 Revised:1900-01-01 Published:2011-09-15 Online:2011-09-15
  • Contact: CHEN Zi-jiang

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摘要： 多囊卵巢综合征（PCOS）是育龄期女性常见的妇科内分泌疾病。由于其临床表现的多样性和高度异质性以及与正常人群表现的重叠，PCOS的诊断一直存在较大争议。自1935年首次发现这一疾病以来，国际上先后出现了3个诊断共识，分别是美国国立卫生研究院（NIH）提出的NIH标准；欧洲生殖和胚胎医学会（ESHRE）与美国生殖医学会（ASRM）提出的Rotterdam标准以及美国雄激素学会（AES）提出的AES标准。2011年，在中国卫生部的支持下，中华医学会妇科内分泌学组根据汉族女性的特点，通过大样本资料的研究，完成了中国PCOS诊断标准的制定。诊断方面的争议也影响了治疗的规范化。目前业内较为公认的是2008年ESHRE和ASRM提出的PCOS不孕症治疗共识。主要对PCOS几个诊断标准进行介绍，同时对PCOS不孕症国际治疗共识进行解读。

关键词: 多囊卵巢综合征, 不育, 女（雌）性, 诊断, 治疗, 标准

Abstract: Polycystic ovary syndrome（PCOS） is one of the most common endocrinal and metabolic diseases in fertile woman. There are many controversies on PCOS diagnosis because of its diversity and heterogeneity in clinical manifestations， and the phenotypes overlapping with normal individuals. Since PCOS was described for the first time in 1935， three consensuses have been proposed successively. They are NIH criteria by National Institutes of Health，Rotterdam criteria by both European Society for Human Reproduction and Embryology（ESHRE） and American Society for Reproductive Medicine（ASRM）， and AES criteria by Androgen Excess Society. In 2011，“Diagnosis criteria for Polycystic Ovary Syndrome” was established by Chinese Medical Association， which was supported by Ministry of Health of China. This Chinese criteria was based on the currently available evidences in Han Chinese. The contradictions of diagnosis have influence on the standardized treatment. So far， the consensus，reached by PCOS Consensus Workshop Group，on the treatment of PCOS infertility， has been well-accepted. This paper described the main criteria of PCOS and the consensus on the treatment of PCOS infertility.

Key words: Polycystic ovary syndrome, Infertility, female, Diagnosis, Therapy, Criteria