曼月乐对子宫腺肌症患者痛经及经量增多的治疗效果分析

目的：探讨左诺孕酮宫内缓释系统（曼月乐）治疗子宫腺肌症患者痛经及经量增多的临床疗效。方法选取长江航运总医院收治的48例子宫腺肌症患者，随机均分为对照组（口服甲睾酮）和观察组（放置曼月乐环），比较两组患者治疗前后痛经程度、月经量和不良反应发生率的差异。结果两组患者治疗后痛经症状减轻，月经量减少，均较治疗前有不同程度改善，差异有统计学意义（P＜0．05），观察组改善程度明显优于对照组，差异有统计学意义（P＜0．05）；两组患者均无严重不良反应发生，不良反应发生率比较差异无统计学意义（P＞0．05）。结论曼月乐治疗子宫腺肌症患者效果确切，可有效缓解痛经和月经量多等临床症状，无严重不良反应，值得临床广泛推广使用。

Clinical efficacy of Mirena for the treatment of adenomyosis patients with dysmenorrhea and increased menstrual volume

Objective To investigate the clinical efficacy of leftnorgestrel releasing intrauterine system （mire-na） for the treatment of adenomyosis patients with dysmenorrhea and increased menstrual volume .Methods A total of 48 cases of adenomyosis patients in this hospital were randomly divided into control group （receiving methyl tes-tosterone） and observation group （receiving mirena ring ） .Dysmenorrhea degree ,menstrual volume and rate of ad-verse reactions were compared between the two groups before and after treatment were compared .Results After treatment ,the degree of dysmenorrhea and menstrual volume markedly decreased in the tow groups （P〉0 .05） .The degree of improvement in observation group was significantly better than control group （P〉0 .05） .No serious ad-verse reaction was found in the two groups ,and the incidence rate of adverse reaction of the two groups were not sig-nificantly different （P〈0 .05） .Conclusion Mirena might be efficient for the treatment of adenomyosis ,could effec-tively alleviate dysmenorrhea and menstrual volume ,and without serious adverse reactions ,which might be worthy of w idely clinical using .