《闭经诊断与治疗指南(2023版)》解读  

Interpretation of Guideline for the Diagnosis and Treatment of Amenorrhea 2023

作　　者：谢媛 郁琦[1] XIE Yuan;YU Qi(Department of Obstetrics and Gynecology,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences&Peking Union Medical College,Beijing 100730,CHINA)

机构地区：[1]中国医学科学院、北京协和医学院、北京协和医院妇产科,北京100730

出　　处：《海南医学》2024年第10期1369-1373,共5页Hainan Medical Journal

基　　金：北京协和医院中央高水平临床科研专项(编号:2022-PUMCH-B-081)。

摘　　要：闭经是临床常见的症状。由于其病因多样,包含各种生殖系统结构性异常、全身系统性疾病和内分泌功能紊乱,诊疗较复杂。2023年中华医学会妇产科学分会妇科内分泌学组发布了《闭经诊断与治疗指南》,该指南针对病理性闭经的定义、分类、发病机制、诊断、鉴别诊断与治疗进行了更新和补充,为闭经的精准诊断和治疗管理提供了相关建议。本文通过对《闭经诊断与治疗指南(2023)版》进行详细解读,重点分析闭经的诊断流程和生育相关问题的处理办法,使该指南更具有临床实践的指导意义,有助于闭经的规范化诊疗。Amenorrhea is a common clinical disorder in women.Due to its diverse etiology,including various structural abnormalities of the reproductive system,systemic diseases and endocrine disorders,the diagnosis and treat-ment of amenorrhea remains challenging.In 2023,the Guidelines for Diagnosis and Treatment of Amenorrhea was is-sued by the Gynecology Endocrinology Group of Obstetrics and Gynecology Branch of the Chinese Medical Associa-tion.The guideline updated and supplemented the definition,classification,pathogenesis,diagnosis,differential diagno-sis and treatment of pathological amenorrhea,providing relevant suggestions for accurate diagnosis and treatment man-agement of amenorrhea.Through a detailed interpretation of the Guidelines for Diagnosis and Treatment of amenorrhea(2023)edition,this paper focuses on the diagnosis process of amenorrhea and the treatment of fertility-related problems,to enhance the instructive nature of the guideline for clinical practice,with the hope that it will contribute to the standard-ization of the diagnosis and treatment of amenorrhea.

关 键 词：闭经 规范化治疗 精准诊断 个性化管理 

分 类 号：R711.57[医药卫生—妇产科学]