曼月乐环和复方口服避孕药治疗子宫腺肌病的疗效观察

Efficacy Observation of Mirena and Oral Compound Contraceptives in Treatment of Adenomyosis

目的:对比观察放置曼月乐环和复方口服短效避孕药在治疗子宫腺肌病中所发挥的效果。方法:选择2018年10月-2020年10月湘西自治州人民医院诊治的子宫腺肌病患者100例进行治疗分析,将患者分为两组,各50例,观察组放置曼月乐环,对照组口服避孕药,对比两组患者治疗前和治疗6个月后的月经量、视觉模拟评分法(VAS)评分和子宫体积变化情况。结果:治疗前,两组患者的VAS评分,卫生巾用量、子宫体积等各项评分比较,差异无统计学意义(P>0.05);治疗后,观察组的VAS评分、卫生巾用量、子宫体积均优于对照组,差异有统计学意义(P<0.05)。结论:在子宫腺肌病的治疗中,放置曼月乐环和复方口服短效避孕药均能够有效治疗子宫腺肌病,使月经量明显减少,痛经有效缓解,但放置曼月乐环的综合效果更佳,值得应用。

Objective: To compare and observe the effect of Mirena placement and oral short-acting compound contraceptives in the treatment of adenomyosis. Methods: A total of 100 patients with adenomyosis treated in People’s Hospital of Xiangxi Autonomous Prefecture from October 2018 to October 2020 were selected for treatment analysis. The patients were divided into two groups with 50 cases in each group. The observation group was given Mirena placement and the control group was given oral contraceptives. The menstrual volume, visual analogue scale(VAS) score and uterine volume changes were compared between the two groups of patients before treatment and at 6 months after treatment. Results: Before treatment, there was no significant difference in VAS score, sanitary towel quantity, uterine volume and other scores between the two groups(P>0.05);after treatment,the VAS score, sanitary towel quantity and uterine volume of the observation group were all better than those of the control group,and the difference was statistically significant(P<0.05). Conclusion: In the treatment of adenomyosis, Mirena placement and oral short-acting contraceptives can effectively treat adenomyosis, significantly reduce the menstruation volume, and effectively alleviate the pain. But the combination effect of placing the Mirena is better and worth applying.