60例育龄期排卵障碍型异常子宫出血的临床观察分析

Clinical observation and analysis of 60 patients of childbearing age with AUB-O

目的探讨异常子宫出血(abnormal uterine bleeding,AUB)中的育龄期妇女排卵障碍型(AUB-O)在基层医院妇科治疗的安全性、有效性。方法选取西城区展览路医院2016年8月~2017年8月妇科门诊以月经异常为主诉就诊的60例育龄期患者为研究对象。观察患者的月经、贫血恢复情况;有生育要求的促排卵的用药、扳机时机、临床妊娠率、不良反应发生率等。结果 60例育龄期AUB-O患者月经恢复正常93.33%,贫血纠正率100%,40例促排卵组临床妊娠率可达17.64%、不良反应发生率为7.05%。结论育龄期AUB-O在基层医院治疗安全性较高,尤其是AUB-O中的多囊卵巢综合征患者经促排卵治疗在解决月经异常的同时也带来妊娠的获益,其治疗的疗效确切,安全性较高,可在基层医院开展。

Objective：To study the efficacy and safety of treating childbearing age patients with abnormal uterine bleeding categorized as ovulatory dysfunction（AUB-O）in the primary level hospitals. Methods：60 childbearing age patients,treated at gynecological clinics in Beijing Zhanlanlu Hospital for irregular menstrual cycle from August 2016 to August 2017,were selected as observation subject,including the menstrual cycle,anemia recovery,usage of medications to promote ovulation,trigger timing,clinical pregnancy rate,adverse reaction rate and so on. Results：For the above 60 cases of patients with AUB-O,93.3% patients with irregular menstrual cycle were back to normal,100% patients with anemia were completely recovered,clinical pregnancy rate of 40 patients accepted ovulation promotion was 17.64%,and the incidence of adverse reactions was 7.05%. Conclusion：The treatment of the childbearing age patients with AUB-O in the primary level hospital is affirmative,especially the patients with PCOS,the ovarian stimulation treatment could not only solve their menstruation disorder problem,but also help them getting pregnant,and the curative effect is reliable and the benefit is obvious,which can be carried out at the reproductive centers in primary hospitals.