异常子宫出血课件

Click to edit Master title style,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,.,*,Click to edit Master title style,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,*,Click to edit Master title style,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,*,Click to edit Master title style,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,*,Click to edit Master title style,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,*,Click to edit Master title style,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,*,Click to edit Master title style,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,*,Click to edit Master title style,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,*,Click to edit Master title style,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,*,Click to edit Master title style,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,*,Click to edit Master title style,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,*,Click to edit Master title style,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,*,异常子宫出血,异常子宫出血,适用范围,本概念限定于育龄期非妊娠妇女,不包括青春发育前和绝经后出血,需排除妊娠和产褥期相关出血,限定于来源子宫腔的异常出血,需要排除来自外阴、阴道、宫颈、泌尿道、肝门、直肠的出血。,适用范围,AUB定义,月经,周期频率、周期规律性、经期长度、经期出血量,四要素之一出现异常即为AUB,正常子宫出血（月经）与,AUB,术语的范围,月经的临床评价指标 术语 范围,周期,频率,月经频发,35d,周期的,规律性,规律月经,7d,闭经,6,月无月经,经期长度,经期延长,7d,经期过短,80ml,月经量过少,80g/L,，生命体征稳定,大剂量雌激素内膜修复法：出血时间长，量多血红蛋白,80g/L,的青春期,高效合成孕激素内膜萎缩法：此法不适合青春期患者,COC,：适用于长期而严重的无排卵出血,诊刮术：刮宫可迅速止血，并具有诊断价值，可了解子宫内膜,（六）AUB-O治疗治疗原则：出血期止血并纠正贫血,（六）,AUB-O,治疗,治疗原则：血止后调整周期预防子宫内膜增生和,AUB,复发,调整周期：,主要后半期孕激素治疗：青春期及生育期年龄选用天然孕激素,人工周期,COC,主要适合于有避孕要求的妇女,对于完成生育或,1,年无生育计划可选用,LNG-IUS,，可减少无排卵的患者出血量，预防子宫内膜增生,（六）AUB-O治疗治疗原则：血止后调整周期预防子宫内膜增生,（六）,AUB-O,治疗,治疗原则：有生育要求患者促排卵,促排卵治疗：,适用于无排卵有生育要求患者，具体方法取于无排卵原因,手术治疗：,已完成生育，药物治疗无效或有禁忌症的患者可考虑子宫内膜切除术或切,除子宫,（六）AUB-O治疗治疗原则：有生育要求患者促排卵,