论文部分内容阅读
收集有排卵型经间子宫出血４０例进行回顾性分析，探讨病因为功能失调者所占的比例，功能失调的类型及治疗对策。结果：器质性病因１２例（３０％），包括轻度盆腔炎４例，宫腔息肉６例（其中１例伴非典型增生），盆腔动静脉瘘及血小板无力症各１例。功能性病因２８例（７０％），包括稀发排卵１４例，黄体功能不足１４例。前组给氯艹底酚治疗８例皆有效，２例孕酮治疗中１例有效。后组给氯艹底酚治疗５例皆有效，６例补充孕酮，４例有效。结论：不同程度的排卵功能紊乱是引起有排卵功血的病因。其详细病理生理改变尚待深入研究。
A retrospective analysis was performed on 40 cases of anovulatory interosseous uterine bleeding to investigate the causes of dysfunctional persons, the types of dysfunctional and the treatment strategies. Results: 12 cases (30%) of organic causes included mild pelvic inflammatory disease in 4 cases, uterine polyps in 6 cases (1 case with atypical hyperplasia), pelvic arteriovenous fistula and 1 case of platelet. Functional etiology in 28 cases (70%), including 14 cases of hair loss ovulation, corpus luteum function in 14 cases. In the former group, 8 cases were treated with chlorpheniramine, and 2 cases were treated with progesterone in 1 case. The latter group to chlorpheniramine treatment in 5 cases are effective, 6 cases of progesterone, 4 cases effective. Conclusion: Different degrees of ovulation dysfunction is the cause of ovulation dysfunctional uterine bleeding. Its detailed pathophysiological changes yet to be further studied.