| 卵巢子宫内膜异位囊肿剥除术后放置左炔诺孕酮宫内节育器的临床观察 |
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| 引用本文： | 周静,戴星,谢彤. 卵巢子宫内膜异位囊肿剥除术后放置左炔诺孕酮宫内节育器的临床观察[J]. 中国妇幼保健, 2010, 25(5) |
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| 作者姓名： | 周静 戴星 谢彤 |
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| 作者单位： | 1. 南昌大学第四附属医院妇产科,江西,南昌,330003
2. 江西省妇幼保健院 |
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| 基金项目： | 江西省科技厅科技支撑计划指导性项目; 江西省卫生厅普通科技计划〔20071106〕 |
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| 摘 要： | 目的:探讨卵巢子宫内膜异位囊肿剥除术后宫腔放置左炔诺孕酮宫内节育器(LNG-IUS)的临床疗效。方法:选择2006年6月~2008年4月在该院施行卵巢子宫内膜异位囊肿剥除术的患者,31例为术后放置LNG-IUS(LNG-IUS组),30例为术后口服孕三烯酮(对照组),比较术前VAS3分者治疗后VAS的评分变化及观察复发情况等。结果:LNG-IUS组平均VAS评分由术前的(6.45±0.47)分分别降至治疗3个月及6个月后的(1.65±0.36)分和(1.85±0.48)分,治疗3个月和6个月与术前VAS评分比较有统计学差异(P0.01),但与孕三烯酮组比较差异无统计学意义(P=0.611,P=0.462);治疗1年LNG-IUS组与对照组中重度痛经的发生率分别为12.90%(4/31)和30.00%(9/30),两组复发率分别为19.35%(6/31)和33.33%(10/30),中重度痛经的发生率和复发率两组比较无统计学差异(P=0.623,P=0.255)。愿意继续接受治疗的LNG-IUS组(87.10%)明显高于对照组(46.67%),差异有统计学意义(P0.01)。结论:LNG-IUS可有效缓解卵巢子宫内膜异位囊肿的相关疼痛,有较好的依从性,可作为内异症保守性手术后预防或延缓复发的辅助性治疗方法。
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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 |
Clinical observation on levonorgestrel intrauterine device after excision of ovarian endometrial implantation cyst |
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| ZHOU Jing,DAI Xing,XIE Tong. Clinical observation on levonorgestrel intrauterine device after excision of ovarian endometrial implantation cyst[J]. Maternal and Child Health Care of China, 2010, 25(5) |
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| Authors: | ZHOU Jing DAI Xing XIE Tong |
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| Affiliation: | ZHOU Jing,DAI Xing,XIE Tong.Department of Obstetrics , Gynecology,the Fourth Affiliated Hospital of Nanchang University,Nanchang 330003,Jiangxi,China |
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| Abstract: | Objective:To explore the clinical effect of placement of levonorgestrel intrauterine device(LNG-IUD) after excision of ovarian endometrial implantation cyst.Methods:61 patients undergoing excision of ovarian endometrial implantation cyst from June 2006 to April 2008 were selected,31 cases were inserted LNG-IUD after treatment(LNG-IUD group),and 30 cases took gestrinone orally after treatment(control group),the changes of VAS score and recrudescence in the cases with VAS>3 before treatment were observed.Resu... |
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| Keywords: | Endometriosis Ovarian cysts Levonorgestrel Intrauterine device |
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