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目的探讨导致青春期子宫出血的原因及有效诊断措施。方法对2008年1月~2012年10月我院收治的青春期子宫出血患者45例资料进行回顾性分析,总结患者的病因及临床治疗方法。结果 45例青春期子宫出血的病因包括:功能失调性子宫出血患者38例,生殖道器质性病变4例,血液系统疾病3例,其中以功能失调性子宫出血的发病率最高,P<0.05,差异有统计学意义。结论导致青春期子宫出血的原因较多,其中以功能失调性子宫出血的比例最高,可以结合超声与诊断性刮宫方法进行综合诊断。
Objective To explore the causes of adolescent uterine bleeding and effective diagnosis. Methods From January 2008 to October 2012, 45 cases of adolescent uterine bleeding admitted to our hospital were retrospectively analyzed, and the etiology and clinical treatment of the patients were summarized. Results Etiology of 45 cases of adolescent uterine bleeding included dysfunctional uterine bleeding in 38 cases, reproductive tract organic disease in 4 cases and blood system disease in 3 cases. The incidence of dysfunctional uterine bleeding was the highest (P <0.05) The difference was statistically significant. Conclusions The causes of adolescent uterine bleeding are many, of which the highest proportion of dysfunctional uterine bleeding can be combined with ultrasound and diagnostic curettage methods for comprehensive diagnosis.