功能失调性子宫出血的治疗进展

Progress in Treatment of Dysfunctional Uterine Bleeding

摘要: 功能失调性子宫出血简称功血，为妇科的多发病、常见病，是指由神经内分泌轴功能障碍引起的子宫出血，而非妊娠、肿瘤、感染或女性生殖道器质性疾病所导致，近年来其发病率逐年上升。现阶段对于功血发病机制还不是十分清楚，可能与神经内分泌失调及子宫内膜微环境改变有关。功能失调性子宫出血可分为无排卵型和排卵型，以无排卵型功血较为常见。本病在治疗上没有特异性的治疗方法，各种药物治疗均可控制子宫出血。本文对无排卵性功血非药物治疗和药物治疗予以综述，为临床治疗此病提供新思路新途径。

Abstract: Dysfunctional uterine bleeding is a common and frequently occurring disease of gynecology. It is a uterine bleeding caused by dysfunction of neuroendocrine axis, not caused by pregnancy, tumor, infection or organic diseases of female genital tract. Its incidence rate has increased year by year in recent years. At present, the pathogenesis of dysfunctional uterine bleeding is not very clear, which may be related to neuroendocrine disorders and endometrial microenvironment changes. Dysfunctional uterine bleeding can be divided into anovulatory type and ovulatory type. In recent years, the incidence rate of anovulatory dysfunctional uterine bleeding has increased year by year. There is no specific treatment for this disease. Various drugs can control uterine bleeding. This article reviews the non-drug treatment and drug treatment of anovulatory dysfunctional uterine bleeding, and provides a new way for clinical treatment of this disease.