LNG-IUS治疗子宫内膜增生过长1-3年月经量变化及子宫出血类型  

作　　者：谢凤云[1] 谢增霞[2] 

机构地区：[1]广东省珠海市妇幼保健院妇科,519000 [2]广东省东莞市长安医院妇产科,523800

出　　处：《求医问药（下半月刊）》2011年第12期489-489,F0003,共2页Seek Medical and Ask The Medicine

摘　　要：目的:研究LNG-IUS治疗子宫内膜增生过长患者1-3年的月经量变化及子宫出血类型,以助于临床应用及临床咨询工作。方法:对LNG-IUS治疗的56例子宫内膜增生过长患者采用PBAC评分法比较治疗前后月经量的改变,并分析其子宫出血类型。结果:月经量的改变:治疗前后相比,PBAC评分减少有显著性差异,P<0.01。子宫出血类型:放置1年末,患者主要表现为不规则出血;放置2年末,患者主要表现为月经正常及闭经,约40%患者出现闭经;放置3年末,超过60%的患者表现为闭经,仍有约15%的患者表现为不规则出血。结论:LNG-IUS能有效地减少月经量,放置LNG-IUS后子宫出血变化表现为不规则出血逐渐转向正常月经、闭经。Objective To evaluate the 1st to 3rd-year change of menstrual flow and bleeding types of women with endometrial hyperplasia undergoing treatment with LNG-IUS to help to counsel potential users of the device and for future clinical indications of the method.Materials and methods Compare the change of menstrual flow of 56 women with endometrial hyperplasia undergoing treatment with LNGIUS before and after insertion by PBAC scoring table,and evaluating the bleeding types.Results Change of menstrual flow：There was a significant difference in the reducing of PBAC scores before and after insertion.Bleeding types：Irregular bleeding was the most common bleeding types at the end of the first-year of use.Most of women reported normal menses and amenorrhea,and about 40%of women reported amenorrhea at the end of the second-year of use.More than 60%of women reported amenorrhea,and about 15%of women reported irregular bleeding at the end of the third-year of use.Conclusion LNG-IUS was effective in reducing menstrual flow of women with endometrial hyperplasia,The bleeding types change from irregular bleeding to normal menses and amenorrhea.

关 键 词：左炔诺孕酮宫内缓释系统(LNG-IUS) 子宫内膜增生过长 月经量 子宫出血 

分 类 号：R711.32[医药卫生—妇产科学]