月经异常出血原因比较复杂 ,如何及时准确地对出血原因作出诊断 ,临床医师应有内膜病理学及女性生殖内分泌的知识 ,从内膜病理改变来认识激素的变化。病检是月经异常出血病因诊断的有效方法。笔者对我院近两年来因月经异常出血行诊刮的746例病检进行分析 ,了解与激素变化有关的 Abnormal menstruation bleeding causes more complicated, how timely and accurate diagnosis of bleeding causes, clinicians should have knowledge of endometrial pathology and female reproductive and endocrine changes from the endometrial pathology to recognize the changes in hormones. Disease examination is an effective method of diagnosis of etiology of abnormal menstruation. The author of our hospital for nearly two years due to abnormal menstrual bleeding curettage 746 cases of disease seized for analysis to understand and hormonal changes