| 左炔诺孕酮宫内节育器治疗围绝经期功能性子宫出血50例临床分析 |
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| 引用本文： | 徐艳,李淑清,周巧梅. 左炔诺孕酮宫内节育器治疗围绝经期功能性子宫出血50例临床分析[J]. 实用诊断与治疗杂志, 2009, 23(7) |
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| 作者姓名： | 徐艳 李淑清 周巧梅 |
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| 作者单位： | 南方医科大学附属中山博爱医院妇科,广东省中山市,528403 |
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| 摘 要： | 目的:探讨左炔诺孕酮宫内节育器治疗围绝经期功能性子宫出血的疗效,为寻找有效、合理治疗围绝经期功能性子宫出血提供理论依据并减少子宫切除率。方法:治疗组50例患者放置左炔诺孕酮宫内节育器,对照组为口服妇康片(炔诺酮)50例患者,观察2组子宫切除率、月经量评分、子宫内膜厚度。结果:治疗组50例中1例手术(2%)、月经量评分>100分2例(4%);对照组50例中8例手术(16%)、月经量评分>100分12例(24%)。治疗组子宫切除率和出血量均低于对照组;放置左炔诺孕酮宫内节育器前及放置后3,6,12个月月经量评分分别为131.0±51.2,53.0±21.9,36.7±19.7,17.9±6.8;子宫内膜由(13.2±4.3)mm分别降至(8.5±1.9)mm,(7.2±1.5)mm,(6.2±1.1)mm。结论:放置左炔诺孕酮宫内节育器可以减少月经量并降低因功能性子宫出血引起的子宫切除手术率。
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| 关 键 词： | 功能性子宫出血 左炔诺孕酮宫内节育器 子宫切除 |
Levonorgestrel IUD treatment of dysfunctional uterine bleeding of perimenopausal period in 50 cases |
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| XU Yan,LI Shuqing,ZHOU Qiaomei. Levonorgestrel IUD treatment of dysfunctional uterine bleeding of perimenopausal period in 50 cases[J]. Journal of Practical Diagnosis and Therapy, 2009, 23(7) |
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| Authors: | XU Yan LI Shuqing ZHOU Qiaomei |
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| Abstract: | Objective To explore the role of levonorgestrel intrauterine device in the treatment of peri-menopausal dysfunctional uterine bleeding,to find theoretical basis for effective and rational treatment of peri-menopausal dysfunctional uterine bleeding and reduce the rate of hysterectomy.Methods Fifty patients received levonorgestrel intrauterine device(treatment group) and another 50 cases were given oral Fukang tablets(control group).The rate of hysterectomy,assessment of menstrual volume and endometrial thick... |
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| Keywords: | Dysfunctional uterine bleeding levonorgestrel intrauterine device hysterectomy |
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