中国医药指南
中國醫藥指南
중국의약지남
CHINA MEDICINE GUIDE
2013年
15期
9-9,10
,共2页
左炔诺孕酮宫内缓释系统%子宫内膜异位症%腹腔镜手术
左炔諾孕酮宮內緩釋繫統%子宮內膜異位癥%腹腔鏡手術
좌결낙잉동궁내완석계통%자궁내막이위증%복강경수술
Levonorgestrel releasing intrauterine device(LNG-IUS)%Endometriosis%Laparoscopic operations
目的探讨腹腔镜下卵巢子宫内膜异位症保守性手术后应用左炔诺孕酮官内缓释系统(LNG-IUS)的临床疗效。方法对行腹腔镜保守性手术的卵巢子宫内膜异位症患者150例，术后放置LNG-IUS，观察其临床疗效和副反应。结果术后LNG-IUS放置前和放置后3个月、6个月和12个月，月经量和痛经VAS评分逐渐下降，子宫内膜厚度逐渐变薄，差异均具有显著性；放置后3个月，患者月经期较放置前明显延长，之后逐渐缩短，差异有统计学意义。随访12个月，累计复发率为14.7%。副反应以月经间期出血为主。结论 LNG-IUS可以改善腹腔镜下卵巢子宫内膜异位症保守性手术后的症状和体征，是一种有效、副反应小，依从性高的治疗方法，并在一定程度上预防术后内异症的复发，
目的探討腹腔鏡下卵巢子宮內膜異位癥保守性手術後應用左炔諾孕酮官內緩釋繫統(LNG-IUS)的臨床療效。方法對行腹腔鏡保守性手術的卵巢子宮內膜異位癥患者150例，術後放置LNG-IUS，觀察其臨床療效和副反應。結果術後LNG-IUS放置前和放置後3箇月、6箇月和12箇月，月經量和痛經VAS評分逐漸下降，子宮內膜厚度逐漸變薄，差異均具有顯著性；放置後3箇月，患者月經期較放置前明顯延長，之後逐漸縮短，差異有統計學意義。隨訪12箇月，纍計複髮率為14.7%。副反應以月經間期齣血為主。結論 LNG-IUS可以改善腹腔鏡下卵巢子宮內膜異位癥保守性手術後的癥狀和體徵，是一種有效、副反應小，依從性高的治療方法，併在一定程度上預防術後內異癥的複髮，
목적탐토복강경하란소자궁내막이위증보수성수술후응용좌결낙잉동관내완석계통(LNG-IUS)적림상료효。방법대행복강경보수성수술적란소자궁내막이위증환자150례，술후방치LNG-IUS，관찰기림상료효화부반응。결과술후LNG-IUS방치전화방치후3개월、6개월화12개월，월경량화통경VAS평분축점하강，자궁내막후도축점변박，차이균구유현저성；방치후3개월，환자월경기교방치전명현연장，지후축점축단，차이유통계학의의。수방12개월，루계복발솔위14.7%。부반응이월경간기출혈위주。결론 LNG-IUS가이개선복강경하란소자궁내막이위증보수성수술후적증상화체정，시일충유효、부반응소，의종성고적치료방법，병재일정정도상예방술후내이증적복발，
Objective?To discuss the effect of levonorgestrel releasing intrauterine device(LNG-IUD) placed in ovarian endometriosis after laparoscopic operations. Methods By observing the curative effect and adverse effect on 150 LNG-IUD placed in 76 after laparoscopic operations cases of ovarian endometriosis. Results The endometrium before the place of LNG-IUS was significantly thinner, the menstrual blood volume and dysmenorrhea VAS score before the place of LNG-IUS were shortened obviously than those in 3,6,12 months after the place of LNG-IUS. The menstrual period in 3 months after the place of LNG-IUS was significantly longer than that before the place of LNG-IUS. The menstrual period in 3, 6, 12 months after the place of LNG-IUS were shortened obviously than that before the place of LNG-IUS. The rate of recurrence during 12 months follow-up was 14.7%.Iregular bleeding is the main side effects. Conclusions LNG-IUS placed in ovarian endometriosis after laparoscopic operations can reduce symptoms and signs,and delays disease recurence.
