Bennett Alyssa R, Gray Susan H
Division of Adolescent/Young Adult Medicine, Department of Pediatrics, Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Curr Opin Pediatr. 2014 Aug;26(4):413-9. doi: 10.1097/MOP.0000000000000121.
This article reviews the current understanding and management of abnormal uterine bleeding (AUB) in adolescents. The readers will learn a practical approach to the evaluation and treatment of mild-to-severe uterine bleeding.
In 2011, a new classification system was proposed to standardize the terminology used to describe AUB. This system is based on the pattern and etiology of bleeding and has been adopted by other organizations. The term dysfunctional uterine bleeding has been replaced by AUB. The negative effect of AUB on adolescents' quality of life is now well established. The levonorgestrel-releasing intrauterine system is considered a first-line treatment for heavy menstrual bleeding and should be considered, especially in those adolescents who may also need contraception.
AUB is a common adolescent complaint that can vary from mild to life-threatening if not recognized and treated promptly. This article reviews the appropriate assessment and management of AUB and proposes a practical algorithm that can be used in an office or hospital setting.
本文综述了目前对青少年异常子宫出血（AUB）的认识和管理。读者将学习到一种评估和治疗轻至重度子宫出血的实用方法。
2011年，提出了一种新的分类系统，以规范用于描述AUB的术语。该系统基于出血模式和病因，已被其他组织采用。功能失调性子宫出血这一术语已被AUB取代。AUB对青少年生活质量的负面影响现已得到充分证实。左炔诺孕酮宫内缓释系统被认为是治疗月经过多的一线疗法，尤其对于那些可能也需要避孕的青少年应予以考虑。
AUB是青少年常见的主诉，如果未得到及时识别和治疗，其严重程度可从轻度到危及生命不等。本文综述了AUB的适当评估和管理，并提出了一种可在门诊或医院环境中使用的实用算法。
