绒毛膜促性腺激素並用黄体酮治疗黄体功能不足的月经失调

THE HORMONAL THERAPY OF UTERINE BLEEDING WITH LUTEAL DYSFUNCTION

黄体功能不足的月经失调,因黄体早衰退,分泌雌孕激素量不足,不能支持子宫内膜,以致在经前期数日即有少量的出血,继之进入正式月经,使经期延长。作者应用绒毛膜促性腺激素并用黄体酮治疗90例此类月经失调,均使月经周期延长至28天以上,月经恢复至5～7天。

According to the pathogenesis of the uterine bleeding caused by luteal dysfunction, the HCG and progesterone had been used for clinical treatment. There are 90 cases in 3 groups of uterine bleeding induced by luteal dysfunction. They were subdivided into 3 patterns: (Ⅰ)High temperature phase<12 days-39 cases. (Ⅱ) Unstable high temperature phase-24 cases. (Ⅲ) High temperature less than 0.3℃-27 cases. The results showed that the cured rate of the pattern (1) was higher than that of other two (p<0.05). The other two patterns may be concerned with hypothalamus or pituitary dysfunction, especially the pattern(Ⅰ)may be due to serious luteal dysfunction. The external replacing hormone therapy of luteal dysfunction uterine bleeding is reasonable and avilable.