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대한생식의학회지 제21권 제3호 2010년

한국여성에서 다낭성 난소증후군의 임상적 특징

연세대학교 의과대학 산부인과학교실;연세대학교 의과대학 산부인과학교실;연세대학교 의과대학 산부인과학교실;연세대학교 의과대학 산부인과학교실;연세대학교 의과대학 산부인과학교실;연세대학교 의과대학 산부인과학교실;

이미화;박기현;송지홍;조동제;황동훈;송찬호;,

Clinical Characteristics of Polycystic Ovary Syndrome in Korean Women

Lee, M.H.;Park, K.H.;Song, J.H.;Cho, D.J.;Hwang, D.H.;Song, C.H.;

Department of Obstetrics and Gynecology, Yonsei University of Medical College;Department of Obstetrics and Gynecology, Yonsei University of Medical College;Department of Obstetrics and Gynecology, Yonsei University of Medical College;Department of Obstetrics and Gynecology, Yonsei University of Medical College;Department of Obstetrics and Gynecology, Yonsei University of Medical College;Department of Obstetrics and Gynecology, Yonsei University of Medical College;

In order to define the clinical characteristics of Korean women with polycystic ovary syndrome, clinical symptoms, biochemical features and ultrasonographic findings were determined in ninety PCO patients. Frequency of clinical manifestations were as follows:acne 42%, overweight 31 %, oily skin 14 %, hirsutism 10%. Relatively low frequencies of hirsutism is recognized in patients with Korean PCO syndrome. Mean(${\pm}$S.E.) of each hormone was:testosterone 1.18${\pm}$1.07ng/ml, LH 21.47${\pm}$${\pm}$2.6mIU/ml, FSH 7.26${\pm}$2.67mIU/ml, LH/FSH ratio 2.94${\pm}$1.29, prolactin 25.48${\pm}$46.33ng/ml, DHEA-S 333.78${\pm}$309.60ng/dl, 17-0HP 1.72${\pm}$1.74ng/ml. Mean 17-OHP after ACTH stimulation test was 5.07${\pm}$12.01ng/ml. Ultrasonographically measured mean ovarian volume were $11.02{\pm}5.92cm^3$ in right and $9.23{\pm}5.64cm^3$ in left and small sized multiple subcapsular follicular cysts were noted in 43 patients (47.9%) with PCO syndrome.

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