异常子宫出血的诊断及治疗研究进展

Research ProgressinDiagnosis and Treatment of Abnormal Uterine Bleeding

异常子宫出血临床发病率较高,可发生于月经初潮后至绝经前任意年龄段,表现为月经时间长、出血量大等,导致贫血,诱发感染等,严重影响女性身心健康。异常子宫出血病因复杂,临床可将其分为子宫结构改变、无子宫结构性改变两大类,还需尽早明确诊断并予以针对性治疗,以加快病情好转。超声、宫腔镜则为常见影像学检查技术,在疾病诊断及病因判断中具有重要作用,但存在各自优劣势。异常子宫出血治疗方案包括药物、手术,临床需依据病情制定适宜治疗方案。为此,本文就异常子宫出血近年来诊断及治疗进展作一综述。

The clinical incidence of abnormal uterine bleeding is relatively high,which can occur in any age from menarche to premenopausal period.Characterized by long menstrual time,heavy bleeding,it can even induce infection and anemia,which seriously affects women's physical and mental health.The etiology of abnormal uterine bleeding is complex,and it can be divided into uterine structural changes and no uterine structural changes in clinic.Early diagnosis and targeted treatment are needed to speed up the improvement of patients’condition.Ultrasound and hysteroscopy are common imaging techniques that play important roles in disease diagnosis and etiological judgment,yet they have their own advantages and disadvantages.The treatment plan for abnormal uterine bleeding includes drugs and surgery,and the pathogenetic condition should be considered when choosing appropriate treatment.To this end,this paper reviews the recent progress in the diagnosis and treatment of abnormal uterine bleeding.