左炔诺孕酮宫内节育系统治疗子宫腺肌病的临床观察

Clinical efficiency of Levonorgestrel-releasing intrauterine system in the treatment of 69 cases with adenomyosis

目的观察左炔诺孕酮宫内节育系统（LNG-IUS）治疗子宫腺肌病所致痛经、月经过多及慢性盆腔痛的临床疗效。方法选取2011年3月-2013年6月门诊确诊子宫腺肌病患者69例,排除禁忌证后给予放置左炔诺孕酮宫内节育系统治疗,随访6个月,观察患者的月经量、月经期、痛经及慢性盆腔痛的改善情况。结果与放置左炔诺孕酮宫内节育系统前相比,放置后患者月经量明显减少,痛经程度、慢性盆腔痛明显改善,差异均具有统计学意义（P〈0.05）。结论左炔诺孕酮宫内节育系统可以有效缓解子宫腺肌病临床症状,提高患者生活质量。

Objective To evaluate the clinical efficiency of Levonorgestrel-releasing intrauterine system（LNG-IUS） in the treatment of adenomyosis. Methods Sixty-nine patients with adenomyosis were treated with LNG-IUS during March 2011 to June 2013. The menstrual quality,menstrual period,VAS and VRS score were carried out before treatment and at one,three and six months after treatment. The amount and period of menstruation were valued by test. Results Among 69 patients, menstrual quality were reduced, dysmenorrhea and chronic pelvic pain were alleviated, which were significantly different from those before treatment（P〈0.05）.Conclusion LNG-IUS inserting inside uterine cavity can significantly alleviate the clinical symptoms of adenomyosis and improve the patients quality.