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月经过多诊刮后置曼月乐的疗效价值
引用本文:沈念春,何造雄,许涛,管元香,甘峻柠,谭慧霞,黄丽.月经过多诊刮后置曼月乐的疗效价值[J].中国妇幼保健,2011,26(18):2785-2787.
作者姓名:沈念春  何造雄  许涛  管元香  甘峻柠  谭慧霞  黄丽
作者单位:1. 广东省珠海市计划生育服务中心妇产科,519015
2. 深圳龙岗区妇幼保健院妇产科
摘    要:目的:探讨月经过多诊刮后置曼月乐的疗效价值。方法:2008年6月~2009年10月在两家医疗机构选择有排卵型月经过多患者90例,接受3种治疗方式,对所有病例治疗后进行为期1年的随访,记录其治疗效果。结果:共71例有随访结果,其中接受诊断性刮宫同时置入曼月乐(A组)、月经第4~7天直接置入曼月乐(B组)、单纯诊断性刮宫(C组)3种方式的患者分别为24、22、25例。PBAC评分在第1、2、3、6、12月3组差异均有统计学意义(P<0.05);血红蛋白在第1、2、3、6月差异无统计学意义,12月则显示差异有统计学意义(P<0.05)。点滴状出血发生率在第1、2、3、6月3组间差异均有统计学意义,B组的发生率一直最高,A组次之,C组发生率最低。结论:曼月乐治疗有排卵型月经过多可有效减少月经量,提高血红蛋白且患者满意度较好。结合诊断性刮宫可准确诊断导致月经过多的器质性病变,值得在临床推广。

关 键 词:月经过多  诊断性刮宫  曼月乐

Efficacy and value of Mirena placement in cases with menorrhagia after dilatation and curettage
SHEN Nian-Chun,HE Zao-Xiong,XU Tao et al.Efficacy and value of Mirena placement in cases with menorrhagia after dilatation and curettage[J].Maternal and Child Health Care of China,2011,26(18):2785-2787.
Authors:SHEN Nian-Chun  HE Zao-Xiong  XU Tao
Institution:SHEN Nian-Chun,HE Zao-Xiong,XU Tao et al.Department of Gynecology and Obstetrics,Zhuhai Family Planning Service Center,Zhuhai 519015,Guangdong,China
Abstract:Objective:To explore the efficacy and value of Mirena placement in cases with menorrhagia after dilatation and curettage.Methods:90 patients with ovulatory menorrhagia were selected from two medical institutions from June 2008 to October 2009,then they received three therapeutic modes,all the patients were followed up for one year after treatment,and the therapeutic efficacy was recorded.Results:71 patients had follow-up results,including 24 patients in group A(receiving Mirena placement and diagnostic cure...
Keywords:Menorrhagia  Diagnostic curettage  Mirena  
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