【摘要】 目的探讨B超测量子宫内膜厚度在激素治疗围绝经期功血中的应用价值。方法回顾性分析2003年1月~2006年12月就诊的174例围绝经期功血病例,根据子宫内膜厚度和出血量的不同间接判断体内激素水平,分组制定激素止血、诊断性刮宫和调经方案。结果子宫内膜>1.1 cm者占64.9%,而且在出血量多者中,子宫内膜增厚者占69%,说明子宫内膜厚度与出血量呈正相关;子宫内膜病理诊断单纯型增生占51.3%,复杂型增生占22.1%,增生期子宫内膜占10.6%,分泌晚期子宫内膜占13.3%,子宫内膜局灶腺体不典型增生占1.8%,子宫内膜息肉占0.9%。子宫内膜激素止血有效率96.7%,调经治疗成功率96.6%。结论影响围绝经功血激素治疗的相关因素为子宫内膜厚度、出血量及诊刮的子宫内膜病理诊断。更多还原

【Abstract】 Objective To explore the value of measuring endometrium thickness by B-mode ultrasonograply in hormone therapy of perimenopausal Dysfunctional uterine bleeding.Methods 174 cases of perimenopausal dysfunctional uterine bleeding from Jan.2003 to Dec.2006 were retrospectively analyzed.Hormone level was judged by endometrium thickness and blood loss and then the patients were treated with hormone,diagnosis dilation and curettage or regulating menstruation.Results Of all the cases with bloodess more them normal,the rate of endometrium thickness was 69%,which showed that the endometrium thickness was positively related to blood less.The pathological types of endometrium were:simple hyperplasia 51.3%;complex hyperplasia 22.1%;proliferative endomotrium 10.6%;secretory endometrium 13.3% and so on.The hemostasia efficient rate with hormone was 96.7%.The successful rate of regulating menstruation was 96.6%.Conclusion The related factors of hormone therapy of perimenopausal dysfunctional uterine blooding are endometrium thickness,blood loss and the pathological types of endometrium.更多还原