CAJ | 학술논문

目的：比较宫内同时放置左炔诺孕酮宫内缓释系统(LNG-IUS)和金属圆环(双环)与宫内单纯放置曼月乐(单环)对于宫深偏大(9～11 cm)腺肌症患者的临床疗效，探讨宫内放置双环对宫深偏大腺肌症患者的临床治疗价值。方法：2011年4月-2013年4月收治子宫腺肌症患者9例，宫内放置双环，比较其放环前后月经、痛经、不良反应及满意度情况，并与同期宫内放置单环的23例子宫腺肌症患者(放环前宫深9～11 cm)的临床疗效进行比较。结果：放环后3个月及6个月，双环患者的VRS评分较放环前明显降低(P=0.004，P=0.004)；与单环相比较，放环后3个月及6个月患者满意度评价较高(P=0.015，P=0.044)。结论：对于宫深偏大腺肌症患者，可考虑宫内同时放置LNG-IUS和金属圆环进行治疗。
목적：비교궁내동시방치좌결낙잉동궁내완석계통(LNG-IUS)화금속원배(쌍배)여궁내단순방치만월악(단배)대우궁심편대(9～11 cm)선기증환자적림상료효，탐토궁내방치쌍배대궁심편대선기증환자적림상치료개치。방법：2011년4월-2013년4월수치자궁선기증환자9례，궁내방치쌍배，비교기방배전후월경、통경、불량반응급만의도정황，병여동기궁내방치단배적23례자궁선기증환자(방배전궁심9～11 cm)적림상료효진행비교。결과：방배후3개월급6개월，쌍배환자적VRS평분교방배전명현강저(P=0.004，P=0.004)；여단배상비교，방배후3개월급6개월환자만의도평개교고(P=0.015，P=0.044)。결론：대우궁심편대선기증환자，가고필궁내동시방치LNG-IUS화금속원배진행치료。
Objective:To compare the clinical effects of intrauterine placed mirena and metal ring at the same time(double loop) and intrauterine simply placed mirena(single loop) for the adenomyosis patients with too large uterus deep(9~11 cm),to explore the clinical treatment value of intrauterine placed double loop for the adenomyosis patients with too large uterus deep.Methods:9 cases with adenomyosis were selected from April 2011 to April 2013.They were intrauterine placed double loop.The menstruation, dysmenorrhea,adverse reaction and satisfaction before and after placing loop were compared.Their clinical effects were compared with 23 cases of adenomyosis patients with intrauterine placed single loop(uterus deep 9~11 cm before placing loop).Results:3 and 6 months after placing loop,VRS scores of patients with double loop were significantly lower than that before placing loop(P=0.004,P=0.004).Compared with the single loop,the patient satisfaction evaluation was higher than that of 3 and 6 months after placing loop(P=0.015,P=0.044).Conclusion:For the adenomyosis patients with too large uterus deep,it can consider to give intrauterine placed mirena and metal ring at the same time for treatment.But the number of patients in the study is small,and the curative effect remains to be confirmed by further studies.