曼月乐治疗子宫腺肌病临床探讨

Clinical Study of Treating Adenomyosis by LNG-IUS

目的:探讨曼月乐左炔诺孕酮宫内缓释系统(LNG-IUS)治疗子宫腺肌病的临床疗效.方法:对2010-01~2013-01通辽市科尔沁区第四人民医院收治的15例子宫腺肌病患者放置曼月乐环后进行1年的随访.在放置LNG-IUS前、放置后,1、4、6、12个月分析患者痛经程度、月经量多少、经期长短、子宫大小.结果:放置LNG-IUS后患者痛经减轻、经量减少、经期缩短、子宫缩小.结论:LNG-IUS治疗子宫腺肌病能有效提高患者的生活质量,对卵巢功能无明显影响,为一种较好的保守治疗手段,也是一种避孕工具,且避孕效果较好,不良反应较少,有很好的临床应用价值.

Objective:To investigate the clinical curative effect of levonorgestrel-releasing intrauterine system (LNG-IUS) in the treatment of adenomyosis. Methods:15 adenomyosis patients who were treated and placed LNG-IUS in The Fourth People's Hospital of TongLiao Horqin District from January 2010 to January 2013 were fol-low-up one year. The patients' dysmenorrhea degree, menstrual amount, menstrual period and uterine size before placing LNG-IUS and after placing LNG-IUS 1, 4, 6 and 12months were analysed. Results:After placing LNG-IUS, the patients' dysmenorrhoea relieved, menstrual amount decreased, menstrual period shortened and the uterus shrinked. Conclusion: Treating adenomyosis by LNG- IUS can effectively improve patients' life quality. It has no obvious effect on ovarian function, and is a better conservative treatment method. It’s also a kind of contraceptives with good contraceptive effect and less adverse reaction. So LNG-IUS has a good clinical application value.