月经过多的诊断。
Diagnosis of heavy menstrual bleeding.
作者信息
Herman Malou C, Mol Ben W, Bongers Marlies Y
机构信息
Department of Obstetrics & Gynecology, Maastricht University Medical Centre, The Netherlands.
The Robinson Institute, School of Paediatrics & Reproductive Health, University of Adelaide, Australia.
出版信息
Womens Health (Lond). 2016 Jan;12(1):15-20. doi: 10.2217/whe.15.90. Epub 2015 Dec 23.
Abstract
Heavy menstrual bleeding (HMB) is an important health problem. This paper gives an overview of the diagnosis of HMB. For each woman, a thorough history should be taken as one should ascertain whether there are underlying factors that could cause complaints of HMB. Objectively knowing whether or not the blood loss is excessive could also be very beneficial. The pictorial blood assessment chart score can help with diagnosis. Physical examination starts with standard gynecological examination. Imaging tests are widely used in the work-up for women with HMB. The first step in imaging tests should be the transvaginal ultrasound. Other diagnostic tests should only be performed when indicated.
摘要
月经过多是一个重要的健康问题。本文概述了月经过多的诊断。对于每位女性，都应进行全面的病史采集，因为必须确定是否存在可能导致月经过多相关症状的潜在因素。客观了解失血量是否过多也可能非常有帮助。图像化失血评估图表评分有助于诊断。体格检查首先进行标准的妇科检查。影像学检查广泛应用于月经过多女性的检查过程中。影像学检查的第一步应该是经阴道超声检查。其他诊断性检查仅在有指征时进行。
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