歡迎訂閱頻道:https://www.youtube.com/channel/UCkucwd-6tng9xoRcPsol6Xw/?sub_confirmation=1 內科:https://www.youtube.com/playlist?list=PLcp9vkDA2gV3uqQEfeF0mP8HgNcE_lTJ0 外科:https://www.youtube.com/playlist?list=PLcp9vkDA2gV2XIi_Zmy8hKcDbGAukg1f4 婦產科:https://www.youtube.com/playlist?list=PLcp9vkDA2gV3scVdFzj1EslwQutpsGXIG 兒科:https://www.youtube.com/playlist?list=PLcp9vkDA2gV3ZnbE2emxJ27dkTG5e2aDW 男科:https://www.youtube.com/playlist?list=PLcp9vkDA2gV2_bNY8idyNEwq_Z1yNiHOJ 皮膚性病科:https://www.youtube.com/playlist?list=PLcp9vkDA2gV39wAQkKoB1z7HfUhuosfsw 五官科:https://www.youtube.com/playlist?list=PLcp9vkDA2gV0STzjaiPMpWMhlPz856LEZ 腫瘤科:https://www.youtube.com/playlist?list=PLcp9vkDA2gV1-a7c4nBDvCIFipSdgqaiR 精神心理科:https://www.youtube.com/playlist?list=PLcp9vkDA2gV224WzRt9pwtvV7Znmmcbx4 不孕不育:https://www.youtube.com/playlist?list=PLcp9vkDA2gV0ZJqmXnY2JH1Y_0eT2JGZc 醫學影像學:https://www.youtube.com/playlist?list=PLcp9vkDA2gV21gCJvZIBYTRKi7ScCpmLA 其他:https://www.youtube.com/playlist?list=PLcp9vkDA2gV0ypfY6paSZgJ- CR4f3sqc6 中醫科:https://www.youtube.com/playlist?list=PLcp9vkDA2gV0PIDg0o2KRBfR5va3lTvzp 無臨床表現的微腺瘤無需治療,但應定期隨訪,觀察患者臨床表現、泌乳素水平及瘤體大小。泌乳素瘤需要治療的臨床指徵包括大腺瘤、逐漸增大的微腺瘤、不育、溢乳、男性乳腺發育、睾酮不足、女性月經稀發或閉經,以及痤瘡和多毛。泌乳素瘤臨床上除了以高泌乳素血症為特徵外,還可出現鞍區佔位效應,腺瘤體積增大直接壓迫垂體前葉和下丘腦,造成下丘腦、垂體、靶腺內分泌功能紊亂,如溢乳、閉經、陽痿等。泌乳素瘤侵襲性向鞍旁海綿竇生長,會導致腦神經損害如動眼神經、展神經麻痺,向鞍上生長壓迫視交叉導致顳側偏盲,垂體破壞鞍底突入蝶竇可導致腦脊液鼻漏,少數出現尿崩症、顱壓升高及垂體卒中等。泌乳素瘤的自然發展過程尚不清楚,大多數微腺瘤並不發展為大腺瘤,但需長期隨訪。
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