西部地区基层医院妇科门诊的排卵障碍性异常子宫出血初级诊疗规范及转诊建议

The primary diagnosis and treatment norms and referral recommendations for abnormal uterine bleeding with ovulatory dysfunction in the gynecological clinic of primary hospitals in western China

排卵障碍性异常子宫出血是常见的生殖内分泌疾病,其临床表现复杂多变,病程长且个体差异较大,基层医院普遍存在诊疗困难和管理不规范的现象。为提高基层医院对排卵障碍性异常子宫出血的诊疗效率,西部地区妇科内分泌专家联合提出此针对基层医院妇科门诊的初级诊疗规范及转诊建议,从诊断要点、止血和周期调整策略、辅助治疗等方面梳理出排卵障碍性异常子宫出血的基本诊疗流程,尤其对低龄青春期和绝经过渡期患者提出了个体化的治疗建议,同时拟定出双向转诊的基本原则,以期作为西部地区基层医院规范化初级诊疗和双向转诊的重要参考。

Abnormal uterine bleeding with ovulatory dysfunction(AUB-O)is a common reproductive endocrine disease with complex and variable clinical manifestations.This disease has a long course and large individual differences.Difficulties in diagnosis and treatment and nonstandardized management are common in primary hospitals.In order to improve the diagnosis and treatment efficiency of AUB-O in primary hospitals,the gynecological endocrinologists in western China proposed this primary diagnosis and treatment norms and referral recommendations for gynecological outpatient clinics in primary hospitals,including the key points of diagnosis,hemostasis and cycle adjustment strategies,adjuvant treatment,and the principle of two-way referral.In particular,individualized treatment recommendations were proposed for young adolescents and menopausal transition patients.This recommendations are expected to serve as an important reference for AUB-O diagnosis,treatment and two-way referral of primary hospitals in western China.