曼月乐节育环对子宫腺肌病患者月经模式和性生活质量影响的临床研究

目的探讨曼月乐节育环治疗子宫腺肌病后对患者的月经模式和性生活质量的影响。方法选择2009年8月至2009年12月子宫腺肌病放置曼月乐节育环的患者56例，采用月经失血图法，痛经评分法，国际女性性功能评估量表评价患者治疗前、治疗后1、3、6、9、12个月月经模式、子宫体积和性功能情况。结果53例患者顺利完成随访，随访率94．6％。56例子宫腺肌病患者在放置曼月乐环后3、6、9、12个月痛经程度较放置曼月乐前减轻[放置前：（3．15±0．91）分；放置后：（1．41±0．51）分，（0．22±0．09）分，（0．07±0．01）分，0分，P〈0．05）]，月经量减少[放置前：（12．0±57．5）分；放置后：（71±23．1）分，（29±19．4）分，（18±10．5）分，（10±4．7）分，P〈0．05]；治疗1个月性功能各项指标均无明显改善（P〉0．05），治疗3个月后仅D2指标有明显改善（P〈0．05），治疗6个月后性功能各项指标均有改善（P〈0．05～0．01）。结论曼月乐节育环对子宫腺肌病患者的月经模式和性功能恢复疗效好。

Mirena IUD on menstrual patterns in patients with adenomyosis and sexual quality of life in clinical research

Objective To investigate the effect on the menstrual patterns and sexual quality of life of patients with adenomyosis after treated with Mirena IUD.Methods 56 patients with adenomyosis who were treated with Mirena IUD were recruited from August 2009 to December 2009.We used Menstrual blood loss chart method,Dysmenorrhea score method and Brief Index of Sexual Function for Women (BISF-W) to evaluate the menstrual pattern,the volume of uterus and sexual quality after1,3,6,9,12 months.{Results 53 patients were followed up,the rate was 94.6%.The condition of 56 patients became better after treated with Mirena for 3,6,9,12 months,dysmenorrhea[Placed before:(3.15±0.91)points;After placing:(1.41±0.51)points,(0.22±0.09)points,(0.07±0.01)points,0 points]and menstrual quantity[Placed before:(12.0±57.5)points;After placing:(71±23.1)points,(29±19.4)points,(18±10.5)points,(10±4.7)points]were both reduced(P＜0.05),the symptoms were not significantly improved after 1 month(P＞0.05).D2 indicators was significantly improved after 3 months of treatment (P＜0.05),sexual function was also improved after 6 months(P＜0.05～0.01).Conclusions Mirena IUD has a good effect on the menstrual pattern and sexual function for patients with adenomyosis.