摘要
收集有排卵型经间子宫出血４０例进行回顾性分析，探讨病因为功能失调者所占的比例，功能失调的类型及治疗对策。结果：器质性病因１２例（３０％），包括轻度盆腔炎４例，宫腔息肉６例（其中１例伴非典型增生），盆腔动静脉瘘及血小板无力症各１例。功能性病因２８例（７０％），包括稀发排卵１４例，黄体功能不足１４例。前组给氯艹底酚治疗８例皆有效，２例孕酮治疗中１例有效。后组给氯艹底酚治疗５例皆有效，６例补充孕酮，４例有效。结论：不同程度的排卵功能紊乱是引起有排卵功血的病因。其详细病理生理改变尚待深入研究。
Objective:To identify the proportion and type of ovarian
dysfunction and the therapeutic approach in patients with ovulatory
intermenstrual bleeding.Design:Clinical,biochemical data and the
results of the relevant therapies of 40 cases(13-39 years old)with
ovulatory intermenstrual bleeding(without obvious organic
diseases)were analysed retrospectively.Results:Organic diseases
accounted for 30% in the group,which included 4 cases of mild pelivic
inflammatory disease,6 cases of intrauterine polyps,Pelvic
arteriovenous fistula 1 case and thrombasthenia 1 case.The remaining
28 cases were the functional disorders,which were the oligoovulation
14 cases and luteal phase deficiency 14 cass.Ovulation induction with
clomiphene citrate or progesterone supplement were used in 21 cases
totally and it was effective in 18 cases.Conclusion:Two patterns of
ovulatory dysfunction are likely to be the etiology of ovulatory
dysfunctional uterine bleeding.Yet their detailed pathophysiological
changes remain to be investigated. \ \
出处
《中国实用妇科与产科杂志》
CAS
CSCD
1996年第5期281-282,共2页
Chinese Journal of Practical Gynecology and Obstetrics
