Shinde Charushila D, Patil Pankaj G, Katti Karuna, Geetha K N
J Indian Med Assoc. 2013 Oct;111(10):674-7.
Endometrium is the mucosal layer of uterus. Throughout the reproductive age endometrium undergoes cyclical changes during each lunar month to prepare the uterus for implantation. Endometrium proliferates and regenerates during menstrual cycle. The most common cause of abnormal vaginal bleeding during a woman's reproductive years is dysfunctional uterine bleeding. Aim of this study was to compare endometrial thickness in regular and irregular menstrual cycles. A total of 111 patients with regular and irregular menstrual bleeding were selected. Age, duration of menstrual cycle, detailed menstrual history, endometrial thickness, difference in endometrial thickness before and after treatment were recorded. Endometrial thickness was recorded by ultrasonography. In patients with abnormal uterine bleeding, if endometrial thickness was less than 8mm first medical line of treatment was advised. If endometrial thickness was greater than 8mm, line of treatment depended on age and pattern of bleeding.
子宫内膜是子宫的黏膜层。在整个育龄期,子宫内膜在每个农历月都会经历周期性变化,为子宫着床做准备。在月经周期中,子宫内膜会增殖和再生。女性生殖年限期间异常阴道出血最常见的原因是功能失调性子宫出血。本研究的目的是比较规律和不规律月经周期中的子宫内膜厚度。总共选取了111例月经规律和不规律出血的患者。记录年龄、月经周期时长、详细月经史、子宫内膜厚度、治疗前后子宫内膜厚度的差异。通过超声检查记录子宫内膜厚度。对于子宫异常出血的患者,如果子宫内膜厚度小于8mm,建议采用一线药物治疗。如果子宫内膜厚度大于8mm,治疗方案则取决于年龄和出血模式。