月经失调 PPT课件.ppt

文档介绍：Abnormal Menstrual Cycle(一)月经失调(一)
Abnormal Menstrual Cycle
Dysfunctional uterine bleeding(DUB)
功能失调性子宫出血
Amenorrhea 闭经
PCOS 多囊卵巢综合征
Dysmennorrhea 痛经
Premenstrual syndrome(PMS)
经前期综合征
Perimenopausal period syndrome
围绝经期综合征
Dysfunctional uterine bleeding (DUB)
Anovulatory dysfunctional bleeding
无排卵性功能失调性子宫出血
Ovulatory menstrual dysfunction
排卵性月经失调
normal
Dysfunctional uterine bleeding(DUB) Anovulatory dysfunctional bleeding
Causes:
local or systemic ,including psychogenic
Pathologic physiology
withdrawal bleeding or breakthrough bleeding
撤退出血或突破出血

vaginal bleeding
Dysfunctional uterine bleeding(DUB) Anovulatory dysfunctional bleeding
Endometrial changes
hyperplasia 子宫内膜增生症
(1)simple hyperplasia单纯型增生
(plex hyperplasia 复杂型增生
(3)atypical hyperplasia不典型增生
phase endometrium增生期子宫内膜
endometrium萎缩型子宫内膜
Dysfunctional uterine bleeding(DUB) Anovulatory functional bleeding
Clinic manifestation
irregular vaginal bleeding
1. 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
Dysfunctional uterine bleeding(DUB) Anovulatory functional bleeding
Diagnosis
according to
1. history of present illness现病史
2. menstrual history月经史
3. physical examination体格检查
4. other adjuvant examinations辅助检查
Dysfunctional uterine bleeding(DUB) Anovulatory functional bleeding
Diagnosis
4. other adjuvant examinations including
D&C诊刮, B ultrasonography超声,
uterus microscopy宫腔镜,
measurement of BBT and hormone,etc.
基础体温及激素水平测定等