中国儿童保健杂志 ›› 2018, Vol. 26 ›› Issue (6): 584-586.DOI: 10.11852/zgetbjzz2018-26-06-02

• 专家笔谈 • 上一篇    下一篇

男童性腺功能低下的诊治进展

李堂, 胡思翠   

  1. 青岛市妇女儿童医院,山东 青岛 266000
  • 收稿日期:2017-04-20 发布日期:2018-06-10 出版日期:2018-06-10
  • 作者简介:李堂(1961-),教授、主任医师、硕士和博士生导师,医学博士,青岛大学附属青岛妇儿医院首席专家,内科中心主任,内分泌代谢科主任。研究方向为小儿内分泌与遗传代谢病(如儿童矮身材、儿童性早熟、甲状腺疾病、肾上腺疾病及儿童糖尿病等)。
  • 基金资助:
    国家自然科学基金(81170762)

Update of diagnosis and treatment for male hypogonadism in children

LI Tang, HU Si-cui   

  1. Children and Women Hospital of Qingdao, Qingdao, Shandong 266000,China
  • Received:2017-04-20 Online:2018-06-10 Published:2018-06-10

摘要: 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。

关键词: 性腺功能低下, 新生儿及婴幼儿, 儿童及青少年, 男性

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.

Key words: hypogonadism, newborns and infants, children and adolescents, male

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