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目的分析性早熟儿童临床特征,提高性早熟儿童的诊疗。方法对38例儿童性早熟患儿的临床资料作回顾性分析。结果本组38例中,1例男童因怀疑先天性肾上腺素皮质增生症(CAH)转上级医院诊治,37例女童中,中枢性特发性性早熟3例,卵巢肿瘤1例,外源性性激素摄入9例,甲状腺功能低下1例,部分性性早熟23例。本组38例患儿垂体MRI检验,未见颅内肿瘤。结论确诊中枢性特发性性早熟及时治疗,可改善患儿的成年最终身高,对部分性性早熟应积极对症治疗,同时需定期监测警惕向中枢性性早熟转化。
Objective To analyze the clinical features of precocious children and improve the diagnosis and treatment of precocious children. Methods The clinical data of 38 children with precocious puberty were retrospectively analyzed. Results Among the 38 cases, 1 case of boy was admitted to the superior hospital for suspected adrenal cortical hyperplasia (CAH). Among the 37 girls, 3 were prefrontal precocious puberty, 1 was ovarian cancer, Sex hormone intake in 9 cases, 1 case of hypothyroidism, 23 cases of partial precocious puberty. The group of 38 patients with pituitary MRI examination, no intracranial tumors. Conclusions The diagnosis of central idiopathic precocious puberty and timely treatment can improve the final adult height of children, and should actively symptomatic treatment of some precocious puberty. At the same time, it is necessary to monitor and monitor the transition to precocious puberty periodically.