CAJ | 학술논문

　　目的：比较左炔诺孕酮宫内缓释系统（LNG-IUS）与子宫内膜电切术治疗月经过多的疗效、不良反应和转归等情况。方法：采用前瞻性的研究方法，因月经过多就诊的96例患者，根据患者意愿分为2组，分别进行宫内放置LNG-IUS及宫腔镜下子宫内膜切除术（TCRE）治疗，其中LNG-IUS组46例，TCRE组50例。观察治疗后月经量、血红蛋白、不良反应等情况。结果：2种治疗方法均可有效减少月经量，TCRE组更优于LNG-IUS组（P＜0.05）。2组血红蛋白改善差异无统计学意义（P＞0.05），且均无严重并发症发生。LNG-IUS组的不良反应发生率（69.6%）高于TCRE组（14%），差异有统计学意义（P＜0.05）。结论：宫内放置LNG-IUS及TCRE均能有效治疗无器质性子宫病变的月经过多，改善贫血。LNG-IUS适合于要求保留生育功能的年轻患者，而TCRE更适合不要求保留生育功能者。
　　목적：비교좌결낙잉동궁내완석계통（LNG-IUS）여자궁내막전절술치료월경과다적료효、불량반응화전귀등정황。방법：채용전첨성적연구방법，인월경과다취진적96례환자，근거환자의원분위2조，분별진행궁내방치LNG-IUS급궁강경하자궁내막절제술（TCRE）치료，기중LNG-IUS조46례，TCRE조50례。관찰치료후월경량、혈홍단백、불량반응등정황。결과：2충치료방법균가유효감소월경량，TCRE조경우우LNG-IUS조（P＜0.05）。2조혈홍단백개선차이무통계학의의（P＞0.05），차균무엄중병발증발생。LNG-IUS조적불량반응발생솔（69.6%）고우TCRE조（14%），차이유통계학의의（P＜0.05）。결론：궁내방치LNG-IUS급TCRE균능유효치료무기질성자궁병변적월경과다，개선빈혈。LNG-IUS괄합우요구보류생육공능적년경환자，이TCRE경괄합불요구보류생육공능자。
Objective:To compare the effectiveness,side effects and clinical outcomes of the levonorgestrel-releasing intrauterine system and the transcervical resection of endometrium in treating menorrhagia without organic uterine disease. Methods:In this prospective study,96 patients with menorrhagia were divided into two groups after the informed consent,LNG-IUS group with 46 cases and TCRE group with 50 cases. The bleeding volume,hemoglobin and side-effects of two groups were compared. Results:The bleeding amounts of both groups were reduced effectively after treatment,while the effect of TCRE was better than that of LNG-IUS (P<0.05). There was not significant difference between two groups in hemoglobin (P<0.05),and there were not severe complications in two groups. The rat of side effects in the LNG-IUS group (69.6%) was more than that in the TCRE group (14%). Conclusions:Both LNG-IUS and TCRE can reverse the menorrhagia without organic uterine disease. LNG-IUS is suitable for the young patients who require the reserving of eugenesis and TCRE for the patients who do not want prengancy any more.