青春期异常子宫出血的多维评估方法

doi:10.12280/gjszjk.20240212

摘要/Abstract

摘要：

青春期异常子宫出血（abnormal uterine bleeding）常表现为闭经、月经过多及月经不规律，严重的异常子宫出血是影响青少年生活质量与身心健康的常见原因。明确异常子宫出血的病因有助于提高青春期异常子宫出血诊断与治疗的准确性。临床工作中，应根据青春期异常子宫出血患者的月经出血模式及相关病史、体格检查，初步确定诊疗思路，而后为患者选择恰当的实验室检查、影像学检查、阴道内镜检查和基因测序检查等辅助检查进一步明确具体病因，指导后续治疗。综述近年关于青春期异常子宫出血多维度评估方法的应用研究进展，以期为青春期异常子宫出血评估方法的选择提供一定参考，为深入研究青春期异常子宫出血的临床诊治提供新思路。

关键词: 青春期, 月经, 诊断, 超声检查, 妇科检查, 病因

Abstract:

Abnormal uterine bleeding (AUB) in adolescents often manifests as amenorrhoea, heavy menstrual bleeding and irregular menstruation. AUB is a common cause affecting the quality of life and physical and mental health of adolescents. Clarifying the etiology of abnormal uterine bleeding is helpful to improve the accuracy of diagnosis and treatment of AUB in adolescence. In clinical work, the initial diagnosis and treatment should be based on the menstrual bleeding pattern of patients with AUB in adolescence, as well as the relevant medical history and physical examination, and then appropriate laboratory tests, imaging tests, endoscopy and gene sequencing tests should be selected to further define the etiology of AUB and to guide the subsequent treatment. This paper reviews the research progress on the application of multidimensional evaluation methods of AUB in adolescence in recent years, in order to provide a certain reference for the selection of evaluation methods of AUB in adolescence, and provide new ideas for the clinical diagnosis and treatment of AUB in adolescence.

Key words: Puberty, Menstruation, Diagnosis, Ultrasonography, Gynecological examination, Pathogeny

何玲, 蒯丹, 张艳芳, 田文艳, 张慧英. 青春期异常子宫出血的多维评估方法[J]. 国际生殖健康/计划生育杂志, 2024, 43(4): 338-342.

HE Ling, KUAI Dan, ZHANG Yan-fang, TIAN Wen-yan, ZHANG Hui-ying. Multidimensional Evaluation of Abnormal Uterine Bleeding in Adolescence[J]. Journal of International Reproductive Health/Family Planning, 2024, 43(4): 338-342.

图/表 1

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