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目的:探讨米非司酮治疗中年无排卵性功血的效果。方法:确诊为功能失调性子宫出血的中年患者30例,连续服用米非司酮3-6个月,分别于治疗前、治疗后对照B超测量子宫内膜厚度、肝肾功能、血常规,随诊观察月经恢复情况及治疗效果。结果:30例患者在服药期间均闭经,子宫内膜无增厚,肝肾功能正常,血红蛋白逐渐提高,贫血得到改善。结论:米非司酮治疗中年无排卵性功血效果满意,值得推广应用。
Objective: To investigate the effect of mifepristone on middle-aged anovulatory dysfunctional uterine bleeding. Methods: 30 middle-aged patients diagnosed as dysfunctional uterine bleeding were treated with mifepristone continuously for 3-6 months. The levels of endometrial thickness, liver and kidney function, blood routine Follow-up observation of menstruation recovery and treatment effect. Results: Thirty patients underwent amenorrhoea during their medication. There was no thickening of the endometrium, normal liver and kidney function, gradual increase of hemoglobin and anemia. Conclusion: Mifepristone is effective in treating middle-aged anovulatory dysfunctional uterine bleeding and it is worth popularizing and applying.