青春期子宫出血54例临床分析

Clinical study on uterine bleeding in adolescents

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 discuss the causes, diagnosis and treatment options of adolescent uterine bleeding. Methods To retrospectively analyze 54 records of adolescent uterine bleeding patients, who were admitted to The Second Affiliated Hospital of Sun Yat-sen University between 1990-01 and 2004-05. Results Thirty-four patients presented with dysfunctional uterine bleeding （63. 0% ）, fourteen patients presented with blood system diseases （25.9%）, three patients presented with genital tract organic pathological changes （ 5.6% ）, and three patients presented with other diseases （5.6%）. Fifty-four cases all received uhrasonography examination and 9 cases who were found abnormal were performed hysteroscopy, then 3 cases were found genital tract organic pathological changes. Dysfunctional uterine bleeding patients received sexual hormonal treatment and achieved good results. Conclusion The majority cause of adolescent uterine bleeding is dysfunctional uterine bleeding, but must excluded other diseases. Uhrasonography examination associated with hysteroscopy and diagnostic curettage are essential methods for diagnosis.