曼月乐对不愿手术的子宫内膜异位症患者的疗效观察

目的 观察曼月乐对不愿手术的子宫内膜异位症患者的疗效.方法 选取2011年6月～2013年1月本院门诊收治的子宫内膜异位症患者52例,均于月经来潮第5天在宫腔内放置曼月乐环,比较放置前后痛经程度、经量变化、卵巢囊肿大小的变化、CA125值的变化等.结果 放置曼月乐环3个月后,患者的月经量明显减少,VAS疼痛评分显著低于治疗前（P＜0.05）;血清CA125与治疗前比较,差异有统计学意义（P＜0.05）,总有效率为96.2％.结论 子宫内膜异位症放入曼月乐对不愿手术、无生育要求的妇女安全、有效,提高了患者的生活质量,值得临床推广.

Curative effect observation of mirena on patients with endometriosis refusing operation

Objective To observe the curative effect of mirena on patients with endometriosis refusing operation. Methods 52 patients with endometriosis from outpatient clinic in our hospital from June 2011 to January 2013 were selected and they were all placed mirena in uterine cavity in the fifth day of menstruation,degree of dysmenorrhea, change of menstrual blood volume,size of ovarian cyst, value of CA125 etc before and after placing mirena. Results Af- ter 3 months placing mirena,the menstrual blood volume of patients obviously reduced,pain score of visual analogue scale （VAS） was obviously lower than that before treatment （P〈0.05）;the value of CA125 displaying a statistical differ- ence compared with before treatment（P〈0.05）,the effective rate was 96.2%. Conclusion Placement of mirena in patients with endometriosis who are reluctant to undergo operation and don＇t want to have babies is safe and effective,and it im- proves life quality of patients.It is worthy of promotion in clinic.