中国实用妇科与产科杂志

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复发性子宫内膜增生症处理原则

张建青   

  1. 作者单位:青海红十字会医院妇产科,青海 西宁 810000
  • 出版日期:2016-11-02 发布日期:2016-11-09

Principle of dealing with recurrent endometrial hyperplasia.

ZHANG Jian-qing.   

  1. Department of Obstetrics and Gynecology,Qinghai Red Cross Hospital,Xining 810000,China
  • Online:2016-11-02 Published:2016-11-09

摘要:

文章对复发性子宫内膜增生的诊断和监测方法、管理及治疗等复发性子宫内膜增生的相关问题结合国内外最新指南进行了讨论。复发性子宫内膜增生最佳的保守性治疗根据子宫内膜组织学分类决定,对无不典型子宫内膜增生,可用随访和连续口服孕激素持续6个月,或放置左炔诺孕酮宫内缓释系统(LNG-IUS)。无生育要求者推荐应用LNS-IUS 5年;对随访中进展为内膜不典型增生、接受药物治疗12个月仍无组织学缓解、子宫不规则出血持续存在、绝经后复发性子宫内膜增生等,均应手术切除子宫治疗。

关键词: 子宫内膜增生, 复发, 子宫内膜癌

Abstract:

Abstract:In this paper,we discussed the diagnosis,monitoring method,management,treatment and other related issues based on the latest domestic and international guidelines about recurrent endometrial hyperplasia.The best conservative treatment for recurrent endometrial hyperplasia is based on endometrial histological classification,and for non-atypical endometrial hyperplasia,followed-up and oral contraceptive can be used for 6 months,or levonorgestrel-releasing intrauterine system (LNG-IUS)can be performed.For patients without fertility requirements,we recommended application of LNS-IUS for 5 years.For those that progress to atypical endometrial hyperplasia,who have no histological remission after drug therapy for 12 months or have irregular persistent uterine bleeding and those who have postmenopausal recurrent endometrial hyperplasia,hysterectomy should be performed.

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