月经失调 ppt课件

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1、AbnormalMenstrualCycle（一）月经失调（一）AbnormalMenstrualCycleDysfunctionaluterinebleeding(DUB)功能失调性子宫出血Amenorrhea闭经PCOS多囊卵巢综合征Dysmennorrhea痛经Premenstrualsyndrome(PMS)经前期综合征Perimenopausalperiodsyndrome围绝经期综合征Dysfunctionaluterinebleeding(DUB)Anovulatorydysfunctionalbleeding无排卵性功能失调性子宫出血Ovulatorymenst

2、rualdysfunction排卵性月经失调normalnormalDysfunctionaluterinebleeding(DUB)AnovulatorydysfunctionalbleedingCauses:localorsystemic,includingpsychogenicPathologicphysiologywithdrawalbleedingorbreakthroughbleeding撤退出血或突破出血1.adolescence2.postmenopausalvaginalbleedingDysfunctionaluterinebleeding(DUB)Anovu

3、latorydysfunctionalbleedingEndometrialchanges1.endometrialhyperplasia子宫内膜增生症（1）simplehyperplasia单纯型增生（2）complexhyperplasia复杂型增生（3）atypicalhyperplasia不典型增生2.proliferativephaseendometrium增生期子宫内膜3.atrophicendometrium萎缩型子宫内膜Dysfunctionaluterinebleeding(DUB)AnovulatoryfunctionalbleedingClinicmanif

4、estationirregularvaginalbleeding1.menorrhagia月经过多2.hypermenorrhea经量过多3.menometrorrhagia子宫不规则过多出血4.metrorrhagia子宫不规则出血Dysfunctionaluterinebleeding(DUB)AnovulatoryfunctionalbleedingDiagnosisaccordingto1.historyofpresentillness现病史2.menstrualhistory月经史3.physicalexamination体格检查4.otheradjuvantexami

5、nations辅助检查Dysfunctionaluterinebleeding(DUB)AnovulatoryfunctionalbleedingDiagnosis4.otheradjuvantexaminationsincludingD&C诊刮,Bultrasonography超声,uterusmicroscopy宫腔镜,measurementofBBTandhormone,etc.基础体温及激素水平测定等Dysfunctionaluterinebleeding(DUB)AnovulatoryfunctionalbleedingDysfunctionaluterinebleed

6、ing(DUB)AnovulatoryfunctionalbleedingDysfunctionaluterinebleeding(DUB)AnovulatoryfunctionalbleedingBBTofAnovulatoryfunctionalbleedingDysfunctionaluterinebleeding(DUB)AnovulatoryfunctionalbleedingDifferentialdiagnosis鉴别诊断abnormalpregnancyandpregnancycomplications异常妊娠或异位妊娠并发症tumorofreproductive

7、tract生殖道肿瘤infectionofreproductivetract生殖道感染unsuitableuseofhormoneandIUD激素使用不当或宫内节育器所致出血systemicdisease全身性疾病Dysfunctionaluterinebleeding(DUB)AnovulatoryfunctionalbleedingDysfunctionaluterinebleeding(DUB)AnovulatoryfunctionalbleedingTreatment1.