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50例子宫内膜异位症术后置左炔诺孕酮宫内节育器的临床分析

Analysis of levonorgestrel-releasing intrauterine device(LNG-IUD) placed in 50 postoperative cases of endometriosis
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摘要 目的:探讨左炔诺孕酮宫内节育器在子宫内膜异位症术后的应用疗效和安全性。方法:观察50例子宫内膜异位症术后放置左炔诺孕酮宫内节育器的疗效及副反应。结果:50例子宫内膜异位症术后患者在带器期间痛经缓解率100%;月经量明显减少(P<0.05);CA125值明显降低且降至正常范围,以后维持在较低水平(P<0.01);子宫体积亦减小,但无统计学意义(P>0.05)。结论:盆腔子宫内膜异位症术后辅以置左炔诺孕酮宫内节育器对无生育要求的妇女是安全的和有效的,患者依从性好。 Aim: To discuss the clinical outcome and safety of LNG-IUD placed in postoperative uterine of patients with endometriosis. Methods: By observing the curative effect and adverse effect on 50 LNG-IUD placed cases with endometriosis. Results: 100% menstruation pain was relieved in the 50-endo-metriosis postoperative cases with LNG-IUD. Significantly decreased (P 〈 0. 05) in amount of menstrual bleeding. Level of CA125 significantly (P 〈 0. 01 ) was decreased to normal range, and maintained in lower level since then. The uteri also decrease in size, but statistically insignificant (P 〉 0. 05 ). Conclusion: Placing LNG-IUD as accessory treatment for postoperative patients with endometriosis is safe and effective,with convenience and good patients' compliance.
出处 《暨南大学学报(自然科学与医学版)》 CAS CSCD 北大核心 2007年第2期183-185,共3页 Journal of Jinan University(Natural Science & Medicine Edition)
关键词 左炔诺孕酮宫内节育器 子宫内膜异位症 保守性手术 levonorgestrel-releasing intrauterine device endometriosis conservative operation
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