男童性腺功能低下在儿科内分泌临床较为常见,主要表现为青春期延迟,性发育不良和下丘脑-垂体-性腺轴功能低下。按病因分为两大类:原发性性腺功能低下和继发性性腺功能低下(低促性腺激素性性腺功能低下)。男性儿童及青少年常因性腺功能低下就诊于儿科内分泌临床,而新生儿期及婴幼儿期的性腺功能低下却往往被忽视。目前对男童性腺功能低下的诊断和处理存在不少争议和困难,本文就此问题进行讨论,期望对儿科临床医生有所帮助。
Abstract
Male hypogonadism in children is common in pediatric endocrineclinic,characterized by delayed puberty, gonadal dysgenesis and the hypofunction of hypothalamic-pituitary-gonadal axis. The causes of hypogonadism can be divided into 2 categories: primary hypogonadism and secondary hypogonadism(hypogonadotropic). Male hypogonadism in children and adolescents is common clinically, while hypogonadism in newborns and infants is often ignored. There still have been many disputes in the diagnosis and treatment of childhood hypogonadism. In this paper, the problem will be discussed in order to proride reference for pediatricians.
关键词
性腺功能低下 /
新生儿及婴幼儿 /
儿童及青少年 /
男性
Key words
hypogonadism /
newborns and infants /
children and adolescents /
male
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