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目的探讨绝经过渡期功能失调性子宫出血的病理因素及治疗方法进展。方法回顾性分析115例绝经过渡期功能失调性子宫出血(功血)患者的诊治经过,归纳出不同诊治途径的结局和预后。结果 115例绝经过渡期功血患者经过不同的止血和调经治疗后,病程短预后良好无复发者89例,占77.39%;复发2~3次后好转者10例,占8.70%;病程长反复出血贫血加重而最终行子宫切除者5例,占4.35%;治疗过程中发现子宫内膜病变包括子宫内膜癌、慢性子宫内膜炎、粘膜下肌瘤及子宫内膜结核等误诊者共11例,占9.56%。结论绝经过渡期功血的诊断和治疗应个体化,必须遵循正确诊断、有效止血、止血后治疗方案的正确选择的原则。
Objective To investigate the pathological factors and treatment progress of dysfunctional uterine bleeding during menopause. Methods The clinical data of 115 patients with dysfunctional uterine bleeding (dysfunctional uterine bleeding) during the menopause transitional period were retrospectively analyzed, and the outcomes and prognosis of different pathways were summarized. Results A total of 115 cases of menopausal transitional dysfunctional uterine bleeding after treatment with different hemostasis and menstruation, the short course of the prognosis of a good non-recurrence in 89 cases, accounting for 77.39%; 2 to 3 times after the recurrence in 10 cases, accounting for 8.70% Hemorrhagic anemia and eventually hysterectomy in 5 cases, accounting for 4.35%; found in the treatment of endometrial lesions including endometrial cancer, chronic endometritis, submucosal fibroids and endometrial tuberculosis and other misdiagnosed a total of 11 Example, accounting for 9.56%. Conclusion The diagnosis and treatment of postmenopausal transitional dysfunctional uterine bleeding should be individualized, and the principle of correct diagnosis, effective hemostasis, and proper choice of hemostatic treatment must be followed.