功能不良性子宫出血是妇科重要疾病,约占生育期妇女的20％。Cleassens与Cowell分析59例急性出血、功能性子宫出血占74％,凝血异常占19％,其他妇科疾病占7％。本文结合临床实践,对此病的病因、诊断与治疗作一综述。病因与病理功能不良性子宫出血是正常卵巢周期的激素刺激发生改变,引起内膜脱落而出血。此种出血 Dysfunctional uterine bleeding is an important gynecological disease, accounting for about 20% of women during the reproductive years. Cleassens and Cowell analyzed 59 cases of acute bleeding, functional uterine bleeding accounted for 74%, coagulation abnormalities accounted for 19%, other gynecological diseases accounted for 7%. In this paper, combined with clinical practice, the etiology, diagnosis and treatment of the disease are reviewed. Etiology and pathological dysfunction Uterine bleeding is a normal ovarian cycle hormone stimulation change, causing endometrial shedding and bleeding. Such bleeding