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1、AbstractObjectiveToinvestigatetheclinicalcharacteroffemalepolycysticovariansyndrome(PCOS),andanalysisclinicaldatafromdifferentphenotypeofPCOS,findthecorrelationfactorsofaggravationmetabolicdisordersandtheriskoflongtermcomplications,asearlyaspossibletointerfere,tochangethemetabolicdisord
2、ers.MethodReferencethePCOSdiagnosticcriteriaoftheAmericanCollegeofObstetricsandGynecologyin2002andHollandRotterdamConferencein2003;accordingthesurveycontenttodrawquestionnaireofPCOSpatientsbyspecialists.Havinginvestigated484PCOSpatientsforquestionnairesurvey,analyzedthemetaboliccharacte
3、ristic,clinicalmanifestation.Results1.theclinicalmanifestationofPCOSismultiplicity:(1)eumenorrheaofthe484patients:1.86%(9/484).menstrualdisorderofthe484patients:98.14%(475/484),oligomenorrheaamongthem:72.11%(349/484),secondaryamenorrheaamongthem:22.11%(107/484),polymenorrheaamongthem:1.
4、65%(8/484),irregularbleedingamongthem:2.27%(11/484);(2)hormoneindex:Kaohsiunghormones23.35%(113/484),acne9.71%(47/484),hypertrichosis:3.10%(15/484),LH/FSH≥2:47.52%(230/484);(3)polycysticovarian(PCO):96.07%(465/484);(4)metabolismindex:insulinresistance:49.79%(241/484),complicatinghyperin
5、sulinemia:13.43%(65/484),Impairedfastingglucose:4.34%(21/484),T1diabetesmellitus:0.21%(1/484);T2diabetesmellitus:1.03%(5/484),Dyslipidemia:40.91%(198/484);(5)adiposity:57.64%(279/484).(6)Intimallesion;3.31%(16/484).Atypicaltypeof484PCOSpatients(OA+HA+PCO):26.03%(126/484),Bnon-PCOStype(O
6、A+HA):3.93%(19/484)、Covulationtype(HA+PCO):1.86%(9/484),Dnon-gaoxiongtype(OAPCO):68.18%(330/484).therewasnomarkedlydifferentialinstatistics(P>0.05)betweenthe4subtypesaboutage,FSH、FINSinserum,blood-fastingsugar,HOMA-IR、BMI、TG.Atypicaltypeovariesisthemaximum(P<0.05).BloodserumTandDHEASofD
7、non-gaoxiongtypeisobviouslylowerthantheotherthreesubtypes(P<0.05),BloodserumTofAtypicaltypeisthemost(P<0.05);LH、LH/FSHinbloodserumofAtypicaltypeandBnon-PCOtypearehigherthanCovulationtypeandDnon-gaoxiongtype(P<0.05).HDLofAtypicaltypeandBnon-PCOtypearelowerthanDnon-gaoxiongtype.L