小剂量米非司酮治疗更年期功能性子宫出血临床分析

目的探索小剂量米非司酮治疗更年期功能性子宫出血的效果.方法对无禁忌证,拒绝手术并自愿接受米非司酮治疗的确诊为更年期功能性子宫出血的患者51例,连续应用米非司酮治疗6个月,分别于治疗前、治疗后对照B超测量子宫内膜厚度,抽血化验内分泌6项,肝肾功能、血常规,随诊观察月经恢复情况及治疗效果.结果51例患者在服药期间均闭经,血清雌激素、孕激素水平下降,卵泡刺激素(FSH)、黄体生成激素(LH)变化不大,子宫内膜无增厚,肝肾功能正常,血红蛋白均有不同程度的提高,贫血得到改善.结论小剂量米非司酮治疗更年期功能性子宫出血,治疗效果满意.

Clinical Analysis of the Small Amount of Mifepristone Treatment Menopause Function Temperament Temple Bleeds

Objective Investigate the result that small amount of treatment menopause function temperament temple bleed. Methods To have no taboo certificated, refuse the surgical operation combine to accept voluntarily the mifepristone cures clear and definite to examina a patient for 51 examples: sufferer that menopause function temperament temple bleed, continuing the application cure 6 months, distinguishing in the treatment before, check against after cure the B mode ultrasonie measure the thickness, drawing blood to analyzae 6 endocrines, liver kidney function , blood normal regulations, track observational menstruation instauration circumstance and treatment result. Results 51 sufferers in period in a medicine all dysmenorrhea, serum Female hormone, Progesterome level descends, the follicle stimulating hormone and luteinizing hormone changes not very, have no increment thickness, the liver kidney function is normal, hemoglobin all contain the exaltation of the different degree, anemic get the improvement. Conclusions The small amount of mifepristone treatment menopause function temperament temple bleeds, curing the result the satisfaction.