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作 者:孔令伶俐 丁岩[4] 常青[5] 刘宏伟 乔林 林奕[6] 黄绘 陆萍[8] 李君[9] 冯云[10] 唐莉 徐志红[12] 赵清[13] 陈慧[1,2,3] 谯小勇 许良智 KONG Linglingli;DING Yan;CHANG Qing;LIU Hongwei;QIAO Lin;LIN Yi;HUANG Hui;LU Ping;LI Jun;FENG Yun;TANG Li;XU Zhihong;ZHAO Qing;CHEN Hui;QIAO Xiaoyong;XU Liangzhi(Department of Obstetrics and Gynecology,West China Second University Hospital,Sichuan University,Chengdu,Sichuan 610041,P.R.China;Key Laboratory of Birth Defects and Related Disease of Women and Children,Ministry of Education,Chengdu,Sichuan 610041,P.R.China;Reproductive Endocrinology and Regulation Laboratory,West China Second University Hospital,Sichuan University,Chengdu,Sichuan 610041,P.R.China;Department of Obstetrics and Gynecology,the First Affiliated Hospital of Xinjiang Medical University,Urumqi,Xinjiang 830054,P.R.China;Department of Obstetrics and Gynecology,the First Affiliated Hospital of Army Medical University(Southwest Hospital),Chongqing 400038,P.R.China;Department of Obstetrics and Gynecology,Chongqing Health Center for Women and Children,Chongqing 401147,P.R.China;Reproductive Medical Center,Maternal and Child Health Care Hospital of Guiyang City,Guiyang,Guizhou 550003,P.R.China;Department of Obstetrics and Gynecology,Xinjiang Uiger Municipal People’s Hospital,Urumqi,Xinjiang 830001,P.R.China;Department of Obstetrics and Gynecology,Fukang Hospital of Tibet Autonomous Region,Lhasa,Tibet 850000,P.R.China;Department of Obstetrics and Gynecology,the First People’s Hospital of Yunnan Province,Kunming,Yunnan 650034,P.R.China;Department of Reproductive Genetics,the First Affiliated Hospital of Kunming Medical University,Kunming,Yunnan 650032,P.R.China;Department of Obstetrics and Gynecology,People’s Hospital of Deyang City,Deyang,Sichuan 618000,P.R.China;Department of Obstetrics and Gynecology,Maternal and Child Health Care Hospital of Shehong County,Suining,Sichuan 629200,P.R.China)
机构地区:[1]四川大学华西第二医院妇产科,成都610041 [2]出生缺陷与相关妇儿疾病教育部重点实验室,成都610041 [3]四川大学华西第二医院生殖内分泌和生殖医学调控研究室,成都610041 [4]新疆医科大学第一附属医院妇产科,乌鲁木齐830054 [5]陆军军医大学第一附属医院(西南医院)妇产科,重庆400038 [6]重庆市妇幼保健院妇产科,重庆401147 [7]贵阳市妇幼保健院生殖中心,贵阳550003 [8]新疆维吾尔自治区人民医院妇产科,乌鲁木齐830001 [9]西藏阜康医院妇产科,拉萨850000 [10]云南省第一人民医院妇产科,昆明650034 [11]昆明医科大学第一附属医院生殖遗传科,昆明650032 [12]德阳市人民医院妇产科,四川德阳618000 [13]射洪市妇幼保健院妇产科,四川遂宁629200
出 处:《华西医学》2020年第11期1303-1310,共8页West China Medical Journal
基 金:国家自然科学基金(81671421);四川省科学技术厅重点研发项目(2019YFS0030,2020YFS0130);四川省卫生健康委员会科研课题(20PJ075)。
摘 要:排卵障碍性异常子宫出血是常见的生殖内分泌疾病,其临床表现复杂多变,病程长且个体差异较大,基层医院普遍存在诊疗困难和管理不规范的现象。为提高基层医院对排卵障碍性异常子宫出血的诊疗效率,西部地区妇科内分泌专家联合提出此针对基层医院妇科门诊的初级诊疗规范及转诊建议,从诊断要点、止血和周期调整策略、辅助治疗等方面梳理出排卵障碍性异常子宫出血的基本诊疗流程,尤其对低龄青春期和绝经过渡期患者提出了个体化的治疗建议,同时拟定出双向转诊的基本原则,以期作为西部地区基层医院规范化初级诊疗和双向转诊的重要参考。Abnormal uterine bleeding with ovulatory dysfunction(AUB-O)is a common reproductive endocrine disease with complex and variable clinical manifestations.This disease has a long course and large individual differences.Difficulties in diagnosis and treatment and nonstandardized management are common in primary hospitals.In order to improve the diagnosis and treatment efficiency of AUB-O in primary hospitals,the gynecological endocrinologists in western China proposed this primary diagnosis and treatment norms and referral recommendations for gynecological outpatient clinics in primary hospitals,including the key points of diagnosis,hemostasis and cycle adjustment strategies,adjuvant treatment,and the principle of two-way referral.In particular,individualized treatment recommendations were proposed for young adolescents and menopausal transition patients.This recommendations are expected to serve as an important reference for AUB-O diagnosis,treatment and two-way referral of primary hospitals in western China.
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