| 左炔诺孕酮宫内缓释系统在卵巢子宫内膜异位囊肿术后应用的评价 |
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| 引用本文： | 周静,戴星,胡鸣. 左炔诺孕酮宫内缓释系统在卵巢子宫内膜异位囊肿术后应用的评价[J]. 现代妇产科进展, 2010, 19(2) |
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| 作者姓名： | 周静 戴星 胡鸣 |
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| 作者单位： | 南昌大学第四附属医院妇产科,南昌,330002 |
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| 摘 要： | 目的:探讨卵巢子宫内膜异位囊肿保守性手术后宫腔放置左炔诺孕酮宫内缓释系统(LNG-IUS)的临床价值。方法:选择2006年1月~2008年4月在我院施行卵巢子宫内膜异位囊肿剥除术患者90例,分为A、B、C 3组,A组31例(LNG-IUS组),B组30例(孕三烯酮组),C组29例(未用药组)。观察比较术前VAS3分者治疗后VAS的评分变化,治疗6个月A、B两组FSH、LH和E2水平,治疗1年A、B两组患者对治疗效果满意度并愿继续接受治疗的情况以及治疗费用等。结果:A组治疗3个月和6个月VAS与术前比较有显著差异(P0.01);与B组的差异无统计学意义(P=0.611,P=0.462);治疗1年A组与B组平均VAS评分无显著差异(P=0.623),A组与C组的差异有统计意义(P0.05)。术后6个月A组E2平均水平正常为85.41±25.73 pmol/L;B组E2明显降低为53.80±16.64 pmol/L,与治疗前的差异有统计学意义(P0.05)。治疗1年愿意继续治疗的A组占87%明显高于B组的47%,差异有统计学意义(P0.01);而治疗费用两组无显著差异。结论:LNG-IUS治疗卵巢子宫内膜异位囊肿引起的疼痛有一定的作用,对卵巢功能影响较小,有较好的依从性,可作为卵巢子宫内膜异位囊肿保守手术后的辅助治疗方法。
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| 关 键 词： | 子宫内膜异位症 卵巢囊肿 左炔诺孕酮 宫内避孕器 |
Evaluation of applying levonorgestrel intrauterine devices after the operation for patients with ovarian endometriotic cysts |
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| Zhou Jing,Dai Xing,Hu Ming. Evaluation of applying levonorgestrel intrauterine devices after the operation for patients with ovarian endometriotic cysts[J]. Current Advances In Obstetrics and Gynecology, 2010, 19(2) |
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| Authors: | Zhou Jing Dai Xing Hu Ming |
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| Affiliation: | Zhou Jing,Dai Xing,Hu Ming.Department of Obstetrics , Gynecology,the Fourth Affiliated Hospital of Nanchang University,Nanchang 330002 |
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| Abstract: | Objective:To explore the influence factors of placement of levonorgestrel intrauterine devices(LNG-IUS) after the conservative operation in patients with ovarian endometriotic cysts.Methods:Ninety patients,who had received the enucleation of ovarian endometriosis cysts from January of 2006 to April of 2008,were divided into three groups:group A,B and C;group A(the LNG-IUS group) includes 31 patients,while group B(the gestrinone group) and C(the untreated group) covers 30 and 29 patients separately.These gro... |
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| Keywords: | Endometriosis Ovarian cyst Levonorgestrel Intrauterine devices |
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