B超联合药物治疗无排卵型功能失调性子宫出血分析.docVIP

B超联合药物治疗无排卵型功能失调性子宫出血分析 　　[摘要] 目的 探讨根据B超监测子宫内膜厚度个性化选择药物治疗无排卵型功能失调性子宫出血的临床效果。 方法 选择2012年1月1日～2015年1月31日在我院门诊就诊的无排卵型功能失调性子宫出血患者156例，以子宫内膜厚度8 mm为界限分为两组：A组62例，内膜厚度0.05）；调经方面：A组的有效率为100.00%，B组为96.81%，两组的调经有效率比较，差异无统计学意义（χ2=2.16，P0.05）。 结论 B超监测子宫内膜厚度个性化选择药物治疗无排卵型功能失调性子宫出血的方案具有良好的临床效果，此方法简便、合理、经济、创伤小，值得基层临床推广。 　　[关键词] B超；子宫内膜厚度；药物治疗；无排卵型功能失调性子宫出血 　　[中图分类号] R711.52 [文献标识码] A [文章编号] 1674-4721（2016）02（b）-0077-04 　　Analysis of B ultrasound combined with drug treating anovulatory dysfunctional uterine bleeding 　　DENG Bin-rong 　　Suichuan Population and Family Planning Service Center in Jiangxi Province，Suichaun 343900，China 　　[Abstract] Objective To explore the clinical effect of personalized selecting drug to treat anovulatory dysfunctional uterine bleeding according to B ultrasound monitoring endometrial thickness. Methods 156 patients with anovulatory dysfunctional uterine bleeding from January 1，2012 to January 31，2015 treated by outpatient in our hospital were selected.Patients were divided into two groups according to the boundary of endometrial thickness 8 mm：62 cases in group A （endometrial thickness0.05）.On the aspect of regulating menstruation：the effective rate in group A was 100.00% and 96.81% in group B，and the difference between two groups had no statistical significance （χ2=2.16，P0.05）. Conclusion Individually selecting drug treating anovulatory dysfunctional uterine bleeding according to B ultrasound monitoring endometrial thickness has better therapy effect and with advantages of easy，reasonable，economy and little trauma.It is worth to popularize in primary clinic. 　　[Key words] B ultrasound；Endometrial thickness；Drug treatment；Anovulatory dysfunctional uterine bleeding 　　功能失调性子宫出血简称“功血”，是常见的一种妇科疾病，临床表现为月经周期不规律、月经量过多或淋漓不尽，给女性生活和工作带来不便，甚至导致严重贫血等，造成精神困扰，严重影响妇女的身心健康。功血治疗主要原则包括止血和调整月经周期两大方面。药物治疗是青春期功血患者的首选，而围绝经期功血的止血治疗可选择诊断性刮宫术，诊断性刮宫对于围绝经期功血患者能达到快速止血的目的，也是确诊子宫内膜病变的主要手段，但是因为不能改变下丘脑-垂体系统对血清激素水平的调节而容易导致功血复发[1]，且诊断性刮宫术属于有创性操作，可增加患者的痛苦，不宜反复进行，故药物治疗仍是治疗围绝经期功血