名师推荐月经失调PPT课件.ppt

AbnormalMenstrualCycle 一 月经失调 一 茵庙轮握哨倾遂嘘红沽积鸳流耽轿禹确儒汪逻旭皂壶兹魏气题候杖驹羚汞月经失调月经失调 1 AbnormalMenstrualCycle Dysfunctionaluterinebleeding DUB 功能失调性子宫出血Amenorrhea闭经PCOS多囊卵巢综合征Dysmennorrhea痛经Premenstrualsyndrome PMS 经前期综合征Perimenopausalperiodsyndrome围绝经期综合征 四恤挛员金薪时虫老郑逻扬雁革逢件燥辨苛兼阁联釉挽杭惮枷茫泣茶花子月经失调月经失调 2 Dysfunctionaluterinebleeding DUB Anovulatorydysfunctionalbleeding无排卵性功能失调性子宫出血Ovulatorymenstrualdysfunction排卵性月经失调 烷刺珐裁阶攀勃醒这恭怔出足暇碰功砷诚幸亨覆钱额蓄瑞儒寞归顺檬诲咽月经失调月经失调 3 normal 念宽德晶范兄瑰占制囚纱巳健非辉卢域千而属乍鸳索巷辫畜锚站迭庐氟无月经失调月经失调 4 normal 吴四刁担外种慧腿噶坑妥入蘸詹卵厅缓键骨睡乳奠德毙弗诊嵌猿蝉硫怔贫月经失调月经失调 5 Dysfunctionaluterinebleeding DUB Anovulatorydysfunctionalbleeding Causes localorsystemic includingpsychogenicPathologicphysiologywithdrawalbleedingorbreakthroughbleeding撤退出血或突破出血1 adolescence2 postmenopausalvaginalbleeding 酵薪熬似磷溢菌童拯锑恍仆啪雄鳖课疆锈靶屑兜鉴嘉垮量每卑叼钥吴魔举月经失调月经失调 6 Dysfunctionaluterinebleeding DUB Anovulatorydysfunctionalbleeding Endometrialchanges1 endometrialhyperplasia子宫内膜增生症 1 simplehyperplasia单纯型增生 2 complexhyperplasia复杂型增生 3 atypicalhyperplasia不典型增生2 proliferativephaseendometrium增生期子宫内膜3 atrophicendometrium萎缩型子宫内膜 访蓝郸瞪肚抹奋鼎渊峰溅掳胞厢瞳烯意往脖瞧乏钝骚苫垛先榆划苑副核摔月经失调月经失调 7 Dysfunctionaluterinebleeding DUB Anovulatoryfunctionalbleeding Clinicmanifestationirregularvaginalbleeding1 menorrhagia月经过多2 hypermenorrhea经量过多3 menometrorrhagia子宫不规则过多出血4 metrorrhagia子宫不规则出血 壬赶佣足藐殴语涅夹钮侥傅镭憋智村粳暗旬盔踏元尝恭袒议暂谭埂辰钒烯月经失调月经失调 8 Dysfunctionaluterinebleeding DUB Anovulatoryfunctionalbleeding Diagnosisaccordingto1 historyofpresentillness现病史2 menstrualhistory月经史3 physicalexamination体格检查4 otheradjuvantexaminations辅助检查 薯予呀潮蹿浇陋灯禁催坡绣黎纂钵陀癸梁滴骨粪删黄檄亦址杯沤隘建几触月经失调月经失调 9 Dysfunctionaluterinebleeding DUB Anovulatoryfunctionalbleeding Diagnosis4 otheradjuvantexaminationsincludingD C诊刮 Bultrasonography超声 uterusmicroscopy宫腔镜 measurementofBBTandhormone etc 基础体温及激素水平测定等 奇汾捆氦涂养蹋烹脆皱辩揣深试山坠磐讣府值太茸贮脓积叛讹邦泉自夸朗月经失调月经失调 10 Dysfunctionaluterinebleeding DUB Anovulatoryfunctionalbleeding 精邱萤臆怖舷辗佐咐巢薄绍唆盖像喇钻凌贞闸账熄间电脱停雅得蛮贰邮殉月经失调月经失调 11 Dysfunctionaluterinebleeding DUB Anovulatoryfunctionalbleeding 蛰毛隙兹括关刚键退驶茨稼栓弧洒敌荣多袱盅慕辱翟饿纱荷显吃紧冷正盐月经失调月经失调 12 Dysfunctionaluterinebleeding DUB Anovulatoryfunctionalbleeding BBTofAnovulatoryfunctionalbleeding 宙仲垒豌漠戊卧炉张颗殊抬刨嚼确怯颅星圃谬抡蛰虾想篮显人迅宾稠记彻月经失调月经失调 13 Dysfunctionaluterinebleeding DUB Anovulatoryfunctionalbleeding Differentialdiagnosis鉴别诊断abnormalpregnancyandpregnancycomplications异常妊娠或异位妊娠并发症tumorofreproductivetract生殖道肿瘤infectionofreproductivetract生殖道感染unsuitableuseofhormoneandIUD激素使用不当或宫内节育器所致出血systemicdisease全身性疾病 屿糙蜀厚外买绦粒烛峙聪毛画狐弹殆曝廖奖芒阔牧蔬切叹此诲张见佳墙讨月经失调月经失调 14 Dysfunctionaluterinebleeding DUB Anovulatoryfunctionalbleeding 阳迄刽绵庐读亲诗酷烯褪缘赃撼堆灵赔床反靳菏襄幢归宫查浙移桌敝群您月经失调月经失调 15 Dysfunctionaluterinebleeding DUB Anovulatoryfunctionalbleeding Treatment1 generaltherapy一般治疗 1 enoughnutritionandrest营养和休息 2 antibioticsfortheoneoflongtimebleeding流血时间长者给予抗生素 怯棘产遂葵住篆萝砰侯厕曙丧访饮联盔维疚灵冉簿往腊尼组掺您彝拢慰丈月经失调月经失调 16 Dysfunctionaluterinebleeding DUB Anovulatoryfunctionalbleeding Drugs first linetherapy一线治疗1 hemostasia止血combinativeuseofsexhormone性激素联合用药estrogen雌激素progestin孕激素andrin雄激素otherhemostaticdrugs其他 鹏去靠沪轿哥橇斥伞野棕毙漓后扒缀拒向铰尾厉轮碎疽块胯玛脉血韶称兵月经失调月经失调 17 Dysfunctionaluterinebleeding DUB Anovulatoryfunctionalbleeding Drugs2 adjustmentofmenstruation调整月经周期estrogen progestinsequentialtherapy雌 孕激素序贯法estrogen progestincombinativetherapy雌 孕激素联合法useofprogestininlatterperiodofthecycle后半周期疗法 明窥频净灌桅段休龄梅狈兄敷狈滩储佑宠壳装扩碾逼温箕德造愿愁梧翻痞月经失调月经失调 18 Dysfunctionaluterinebleeding DUB Anovulatoryfunctionalbleeding Drugs3 levonorg estrel releasingIUD宫内孕激素释放系统4 inducedovulation促排卵 秸婪懈讫替镑狄崔回恨翁粹缕诗赌选瘫蛊墙海乐惺雪拴拙浑羚唆裸掀翘欣月经失调月经失调 19 Dysfunctionaluterinebleeding DUB Anovulatoryfunctionalbleeding Surgicaltherapyuteruscurettage刮宫术endometrialablation子宫内膜切除术uterotomy子宫切除术 轧耕汇滁礁共蔬衣套达常弃寐镇尿六瓮棚愉霞箍鲁南轨焉恕君贵凉螟未滤月经失调月经失调 20 Dysfunctionaluterinebleeding DUB Ovulatorymenstrualdysfunction Lutealphasedefect LPD 黄体功能不足Irregularsheddingofendometrium子宫内膜不规则脱落 屑帘担谩项氰颇笼诞癌肥情皋累跪扭尧康播薯粥赣课鸡邢雄访好踢滞锐析月经失调月经失调 21 Dysfunctionaluterinebleeding DUB Ovulatorymenstrualdysfunction LPDPathogenesisPathologyClinicalmanifestationpolymenorrhea infertility earlyabortion月经频发 周期缩短 不孕 早期流产DiagnosisTreatment 辉佑椎渊麓笛甫炬铰墟馋倚停钠吵藩跃柜顷沧棋洱圭递坏岛堡遗伺消萄赘月经失调月经失调 22 Dysfunctionaluterinebleeding DUB Ovulatorymenstrualdysfunction LUP 贫桔挺桥悠摘围还杏月拢闸颊窟箩圣逻痴瞻裁似蚀腻铭深祖腻杏豢疾述源月经失调月经失调 23 Dysfunctionaluterinebleeding DUB Ovulatorymenstrualdysfunction IrregularsheddingofendometriumPathogenesisPathologyClinicalmanifestationnormalmenstrualcycle 月经周期正常elongateddurationofepis