左炔诺孕酮宫内节育器治疗子宫腺肌病的临床疗效观察  

Effect of levonorgestrel-releasing intrauterine contraceptive device on treatment of adenomyosis

作　　者：彭艳[1] 彭莉[1] 姚吉龙[1] 

机构地区：[1]广东省南方医科大学附属深圳市妇幼保健院妇科,广东深圳518000

出　　处：《海南医学院学报》2011年第12期1681-1683,共3页Journal of Hainan Medical University

基　　金：海南医学院科研基金资助学报项目(0020110463)~~

摘　　要：目的:探讨放置左炔诺孕酮宫内节育器治疗子宫腺肌病的临床疗效。方法:选择59例子宫腺肌病患者,月经周期第5～8d放置左炔诺孕酮宫内节育器。分别在放置前、放置后1个月、3个月、6个月和12个月观察其月经量、痛经、血红蛋白、子宫体积及内膜厚度的变化。结果:放置左炔诺孕酮宫内节育器后,患者月经量在第3个月后较放置前减少(P<0.05);痛经在放置第1个月后较放置前减轻(P<0.05);血红蛋白在放置第6个月后较放置前增加(P<0.05);子宫体积在放置1年后较放置前缩小(P<0.05);子宫内膜厚度在放置第1个月后较放置前变薄(P<0.05)。结论:左炔诺孕酮宫内节育器是治疗子宫腺肌病的有效方法。Objective： To investigate the effect of levonorgestrel-releasing intrauterine contraceptive device（LNG-ICD） on the treatment of adenomyosis.Methods： Fifty nine patients with adenomyosis were followed up in 0,1,3,6,12 months after treating with LNG-ICD.The menstrual blood volume,dysmenorrheal score,level of hemoglobin,size of uteri and endometrial thickness were observed and evaluated.Results： The menstrual blood volume was significantly reduced after 3 month（P〈0.05）.Dysmenorrhea was significantly alleviated after 1 month（P〈0.05）.The level of hemoglobin significantly increased after 6 month（P〈0.05）.Endometrial thickness reduced significantly after 1 month（P〈0.05）,and the size of uteri decreased significantly after 12 month（P〈0.05）.Conclusions： LNG-ICD is an effective therapy for adenomyosis.

关 键 词：子宫腺肌病 左炔诺孕酮 宫内节育器 

分 类 号：R71[医药卫生—妇产科学]