河北医科大学妇科统考病例分析题（Case analysis of department of gynaecology of hebei medical university）.docVIP

河北医科大学妇科统考病例分析题（Case analysis of department of gynaecology of hebei medical university） Female, 49 years old, vaginal irregular bleeding 8 months, blood pigment 80g/L in hospital. Two months ago, the diagnostic curettage, for secretion of the early endometrium, was still irregular bleeding after diagnosis. Womens examination: normal size of uterus, slightly soft, no abnormality in double attachments, ultrasound examination of the uterus 7.0 x 4.0 x 3.0 cm3 thickness 0.8 cm, bilateral ovary normal. After admission, blood stops after sex hormone. The preferred treatment for future treatment is A resection of the whole uterus and two ovaries to remove the whole uterus and keep the ovaries C cycles were used to control menstruation, until the menopause D hysteroscopy and the removal of the endometrium D laparoscopy and corresponding treatment Estrogen and progesterone in women are mainly produced by the ovaries. At the same time, the ovaries produce small amounts of androgen. It is generally believed that the oestrogen before ovulation is mainly secreted by the follicle, and the estrogen and progestin after ovulation are mainly secreted by the corpus luteum. Its secretion function fluctuates with the periodic change of ovarian function. The ovaries mainly synthesize estradiol and estradiol. The main physiological function of estrogen has the following several aspects: (1) promote endometrial development, thickened muscle, increase blood supply, and uterine contraction force, enhance increase the sensitivity of the uterine smooth muscle of oxytocin. (2) endometriosis. (3) relax the cervix, increase the secretion of cervical mucus, and thin and easy to pull into filaments. (4) promote the development of fallopian tube and strengthen the amplitude of tubal rhythm contraction. (5) make vaginal epithelial cells hyperplasia and keratosis, and the labia grow plump. (6) make mammary gland hyperplasia, nipple and areola stain. (7) promote the development of other secondary sexua