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甲状腺机能减退症(甲减)伴乳溢是一种少见的疾病,同时合并闭经时称甲减乳溢-闭经综合征。近年来,我院发现甲减伴乳溢或乳溢闭经综合征8例。8例女性的年龄从30~48岁,平均年龄36.13岁,均有典型的甲减症状和体征,乳溢、月经稀少的4例,闭经3例,月经增多1例。实验室检查:T_4降低,TSH增高,TSH 从32μu/dl至507.6μu/dl,PRL 分别为1340mu/L、877.98、2983、878、1250。蝶鞍摄片和断层:微腺瘤2例,占位性病变1例,鞍底骨折模糊、有骨吸收现象1例,蝶鞍大小形态正常3例,经甲状腺片每日40~120mg 治疗甲减症状、体征消失。T_4、
Hypothyroidism (hypothyroidism) with milk overflow is a rare disease, combined with amenorrhea at the same time said hypothyroidism - amenorrhea syndrome. In recent years, our hospital found that hypothyroidism with milk overflow or milk amenorrhea syndrome in 8 cases. Eight women aged from 30 to 48 years, with an average age of 36.13 years old, have typical symptoms and signs of hypothyroidism, milk overflow, rare menstruation in 4 cases, 3 cases of amenorrhea, an increase of 1 case of menstruation. Laboratory tests: T_4 decreased TSH increased TSH from 32μu / dl to 507.6μu / dl, PRL were 1340mu / L, 877.98,2983,878,1250. Sella photography and tomography: 2 cases of micro-adenoma, 1 case of space-borne lesions, saddle fundus fracture, 1 case of bone resorption, 3 cases of normal size and shape of sella, thyroid tablets 40 ~ 120mg daily treatment of A Symptoms, signs disappear. T_4,