功能失调性子宫出血2090911课件.ppt

单击此处编辑母版标题样式,单击此处编辑母版文本样式,第二级,第三级,第四级,第五级,*,病例-1,王某，女，14岁，月经来潮一年,因阴道大出血二十天，Hb 4g/L,以功能性子宫出血，继发性贫血收入院，并给予输血治疗,。,病例-2,某女，47岁，因月经不规则一年就诊,诊断为子宫内膜癌，并行广泛性全子宫切除术。,Why?,功能性子宫出血是由于下丘脑-垂体-卵巢调节轴异常引起的异常阴道出血，无全身器质性病变。,功血,Dysfunctional Uterine Bleeding,DUB is defined as abnormal vaginal bleeding with no demonstrable organic cause,genital or extragenital,.,概论,Outline,定义,Definition,症状,Symptoms,诊断,Diagnosis,治疗,Treatment,症状-,无特异性,失出了正常月经的特点：,月经过多,月经不规则,月经频发,月经过多不规则出血,诊断,排除法,Pregnancy,诊断,排除法,Pelvic pathologies,诊断,排除法,Contraception,诊断,排除法,Infection,诊断,排除法,Drugs,诊断,排除法,Systemic diseases,治疗,Treatment,Goals of management,Control bleeding,Prevent recurrence,Preserve fertility,Correct associated conditions,Induce ovulation in patients who want to conceive,治疗,Treatment,Surgical treatment,D&C,Endometrial ablation,Selective embolization,hysterectomy,治疗,Treatment,Medical treatment,Hormone,Estrogen,Progesterone,Combined OCs,Goal of this lecture,:,DUBAVB,Knowledge is the strong medicine,