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目的探讨青春期子宫出血的病因、诊断和治疗方法。方法对1990-01-2004-05中山大学附属第二医院54例青春期子宫出血病例进行回顾性分析。结果54例青春期子宫出血患者,功能失调性子宫出血(功血)共34例占63.0%,血液系统疾病14例占25.9%,生殖道器质性病变3例占5.6%,其他疾病3例占5.6%。54例均经超声检查,9例有异常发现者再接受宫腔镜检查,3例发现器质性病变。功血患者经性激素治疗均达止血效果。结论青春期子宫出血的病因以功血为多,但需排除其他疾病。超声结合诊断性刮宫和宫腔镜检查,是有力的诊断手段。
Objective To investigate the etiology, diagnosis and treatment of adolescent uterine bleeding. Methods A retrospective analysis was performed on 54 cases of adolescent uterine bleeding in the Second Affiliated Hospital of Sun Yat-sen University from January 1990 to June 2004. Results 54 cases of adolescent uterine bleeding, dysfunctional uterine bleeding (dysfunctional uterine bleeding) in 34 cases accounted for 63.0%, hematological diseases in 14 cases accounted for 25.9%, genital tract organic lesions in 3 cases accounted for 5.6%, other diseases in 3 cases 5.6%. 54 cases were examined by ultrasound, 9 cases were found to be abnormal hysteroscopy, and 3 cases of organic lesions were found. Hypertension patients treated by sex hormones have reached the hemostatic effect. Conclusion The cause of adolescent uterine bleeding is more blood, but other diseases need to be excluded. Ultrasound combined with diagnostic curettage and hysteroscopy, is a powerful diagnostic tool.