CAJ | 학술논문

目的：探讨曼月乐避孕作用及对子宫腺肌病及子宫内膜异位症的治疗作用及保守手术后减少复发的疗效观察。方法：对于正常健康要求避孕的妇女15例，子宫腺肌症患者要求避孕及治疗14例，子宫内膜异位症（卵巢囊肿小于3cm ）要求避孕及治疗11例，子宫腺肌症及子宫内膜异位症保守手术后要求避孕及减少复发的分别为10例，适时放置曼月乐，定期随访及复查，观察避孕、月经及痛经情况，子宫及卵巢囊肿大小变化。结果：曼月乐带器妊娠率为0％，放置曼月乐后12个月，所有妇女的月经量均较放置前明显较少，子宫腺肌症患者及内异症患者痛经明显缓解，子宫缩小，CA125水平下降，治疗前后对比，差异有统计学意义。结论：曼月乐在避孕及子宫内膜异位症的治疗及保守手术后减少复发方面有一定疗效。
목적：탐토만월악피잉작용급대자궁선기병급자궁내막이위증적치료작용급보수수술후감소복발적료효관찰。방법：대우정상건강요구피잉적부녀15례，자궁선기증환자요구피잉급치료14례，자궁내막이위증（란소낭종소우3cm ）요구피잉급치료11례，자궁선기증급자궁내막이위증보수수술후요구피잉급감소복발적분별위10례，괄시방치만월악，정기수방급복사，관찰피잉、월경급통경정황，자궁급란소낭종대소변화。결과：만월악대기임신솔위0％，방치만월악후12개월，소유부녀적월경량균교방치전명현교소，자궁선기증환자급내이증환자통경명현완해，자궁축소，CA125수평하강，치료전후대비，차이유통계학의의。결론：만월악재피잉급자궁내막이위증적치료급보수수술후감소복발방면유일정료효。
Conclusion:To investigate the effect of contraception ,the therapeutic effect of endometriosis and adenomyosis with Mirena IUD ,and after conservative surgery ,reducing the recurrence the patiens of curative effect observation.Methods:15 healthy women for contraception ,14 patients with adenomyosis for contraception and treatment ,11 patients with ad-enomyosis (diameter of ovarian cysts<3cm)for contraception and treatment ,regular follow-up and review ,observation of contraception ,menstruation and dysmenorrhea ,uterine and ovarian cyst size changes .Results:rate of pregnancy of women with Mirena IUD is 0% ,menstrual quantity of all the patients with Mirena IUD was significantly less than be-fore .Dysmenorrhea of patients with endometriosis and adenomyosis Significantly relieve .the volume of uterus reduced , CA125 levels dropped .Conclusion:Mirena in contraception and the treatment of endometriosis and reducing relapse af-ter conservative surgery has certain curative effect .