围绝经期功能失调性子宫出血的性激素疗法

摘要

围绝经期功能失调性子宫出血是临床常见疾病,识别出需要治疗的患者,并给予恰当治疗是临床工作的一个难点.其治疗具有两个目的:一是预防异常出血对妇女身体的不良影响,二是预防和避免子宫内膜发生器质性病变.性激素治疗是首选的治疗方法,其中以孕激素治疗为主,具体方法因患者的个体情况而异.若正规性激素治疗疗效不佳时,需警惕器质性病变可能.%Perimenopausal dysfunctional uterine bleeding is a common clinical disease. It is difficult to identify patients who are in real needs of treatment and give them appropriate therapy. The treatments for these patients should provide two functions; decreasing ultra blood lose and preventing endometrial organic diseases. After the diagnosis of functional disorders, sex hormone therapy is the first-line choose which are mainly progestogens therapy and the specific method varies due to individual patient. If regular hormone therapy could not get efficacy, organic disease should be excluded again.