子宫腺肌病术前预处理及术后药物治疗

对子宫腺肌病进行病灶挖除、大子宫切除、大子宫放置左炔诺孕酮宫内节育系统（曼月乐）需要进行预处理,其中主要使用促性腺激素释放激素类似物（gonadotrophin releasing hormone analogue,GnRHa）3个月.术后使用GnRHa 6个月可以明显减少复发.用GnRHa治疗4～6个月之后行体外受精-胚胎移植（in vitro fertilization and embryo eransfer,IVF-ET）可显著提高临床妊娠率.

Pretreatment with 3 months of GnRH-a for adenomyomectomy, hysterectomy of big uterus and insertion of Levonorgestre lintrauterina system （ Mirena） to big uterus are suggested in patients with adenomyosis of the uterus. Postoperative treatment with GnRH-a for 6 months, other than 3 months can reduce the recurrence rate. Pretreatment with GnRH-a for 4 to 6 months can increase the clinical pregnancy rate of IVF-ET.