无排卵型异常子宫出血的诊治

Diagnosis and treatment for anovulatory abnormal uterine bleeding

无排卵型异常子宫出血是异常子宫出血(abnormal uterine bleeding,AUB)中的一个类型,简称AUB-O。通过病史及辅助检查排除全身或生殖系统器质性因素可诊断AUB-O。AUB-O的治疗目的包括两方面,一是抑制长期无排卵引起的子宫内膜过度增生、月经期延长和经量过多,二是促进正常月经功能恢复,包括正常月经周期和月经量的恢复。具体方案包括止血、调整月经周期及手术治疗。雌、孕激素尤其是孕激素是治疗AUB-O的主要药物。

Anovulatory abnormal uterine bleeding is one type of abnormal uterine bleeding（AUB）,also AUB -O for short. AUB - O can be diagnosed with medical history and laboratory examination by excluding organic factors of systemic or reproductive system. The Objective of treatment for AUB - O includes two aspects. one is to inhibit endometrial hyperplasia,prolonged menstruation and menorrhagia,which induced by chronic anovulation. The other is to promote the restoration of normal menstrual function,including normal menstrual cycle and menstrual quantity. Therapeutic regimen includes hemostasis,menstruation cycle adjustment and operation. Estrogen / progestin progestins are the mainstay of treatment for AUB -O.