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目的:探讨不同子宫内膜厚度采用不同激素药物治疗围绝经期功血的疗效,对其治疗效果进行分析。方法:选取韶关市妇幼保健计划生育服务中心2012年10月至2014年10月收取的89例围绝经期功能性子宫出血患者,治疗前通过超声测量围绝经期功血患者的子宫内膜厚度,根据患者的子宫内膜厚度对其指导性采用不同激素药物治疗,分析其止血的效果和调经的成功率。结果:不同子宫内膜厚度采用不同药物治疗的结果显示:26例子宫内膜厚度<6 mm止血成功率88.46%,失败率11.53%,调经成功率92.30%,失败率7.69%;36例内膜厚度>6 mm(出血量少)止血成功率94.44%,失败率5.55%,调经成功率97.22%,失败率2.77%;27例内膜厚度>6 mm(出血量多)止血成功率92.59%,失败率7.86%,调经成功率94.38%,失败率5.61%;不同子宫内膜厚度采用不同药物治疗的总止血成功率92.13%,失败率7.86%,调经总成功率94.3 8%,失败率5.61%。结论:治疗围绝经期患者要根据其子宫内膜不同的厚度,给予相应的治疗方法,治疗后止血效果显著和调经效果理想,有效促进患者身体尽快康复。
Objective: To explore the different endometrial thickness of different hormones in the treatment of peri-menopausal dysfunctional uterine bleeding, the effect of treatment were analyzed. Methods: 89 cases of climacteric dysfunctional uterine bleeding collected from October 2012 to October 2014 in Shaoguan Maternal and Child Health Family Planning Service Center were enrolled. Before the treatment, endometrial thickness of peri-menopausal dysfunctional uterine bleeding was measured by ultrasound, According to the thickness of the patient’s endometrium guidance of different hormonal drug treatment, analysis of the effect of hemostasis and the success rate of menstruation. Results: The results of different medications showed that 26 cases of endometrial thickness <6 mm had a success rate of 88.46%, a failure rate of 11.53%, a success rate of 92.30%, failure rate of 7.69%; 36 cases of endometrial The success rate of hemostasis was 94.44%, the failure rate was 5.55%, the success rate of menstruation was 97.22% and the failure rate was 2.77%. The successful rate of hemostasis was 27.59% in 27 cases with intimal hyperplasia> 6 mm, Failure rate of 7.86%, the success rate of 94.38% menstruation, the failure rate of 5.61%; different endometrial thickness using different drugs, the total success rate of 92.13% of hemostasis, failure rate of 7.86%, the total success rate of 94.38 menstruation, failure rate of 5.61% . Conclusion: The treatment of perimenopausal patients according to their different thickness of the endometrium, to give the appropriate treatment, hemostasis effect after treatment was significant and the effect of menstruation ideal, effectively promote the patient’s physical recovery as soon as possible.