功能性子宫出血40例临床分析

Clinical Analysis of 40 Cases in Dysfunctional Uterine Bleeding

本文对４０例临床诊断功能性子宫出血（以下简称功血）的病例行腹式子宫全切除术后，标本进行病理检查，结果证实仅１０例与临床诊断相符。误诊率高达７５％。误诊病种以子宫肌瘤，子宫腺肌症，子宫内膜息肉构成比最高，说明功血诊断确立之关键在于排除隐匿性子宫器质性病变。本文对本病的诊断，误诊原因进行讨论，强调辅助检查对本病诊断的重要意义。

Abdominohysterectomy was performed in 40 patients who had been clinically diagnosed as dysfunctional bleeding. The result of pathological examination showed that only 10 of 40 eases were identical with clinical diagnosis the rate of misdiagnosis being 75%, Patients were usually misdiagnosed as leiomyoma,adenomyosis and endometrial polyp.It is suggested that the diagnosis of organic diseases be eliminated before the diagnosis of dysfunctional uterine bleeding was established.The cause of misdiagnosis was also disoussed.