诺舒阻抗控制子宫内膜切除术后放置曼月乐环治疗子宫腺肌病的效果

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摘要目的探讨诺舒阻抗控制子宫内膜切除术后放置曼月乐环治疗子宫腺肌病的效果。方法选取我院2017年2月～2019年3月收治的60例子宫腺肌病患者作为研究对象，依据治疗方式不同分为对照组（30例）和观察组（30例）。对照组采用常规性热球子宫内膜切除术，观察组在诺舒阻抗控制子宫内膜切除术后放置曼月乐环。比较两组患者的临床疗效、并发症以及治疗前后的月经量、痛经程度评分、子宫内膜厚度、子宫体积。结果观察组患者的临床治疗总有效率高于对照组，差异有统计学意义（P＜0.05）；两组患者治疗前的月经量、痛经程度评分、子宫内膜厚度、子宫体积比较，差异无统计学意义（P＞0.05）。两组患者治疗后的月经量少于治疗前，痛经程度评分低于治疗前，子宫内膜厚度薄于治疗前，子宫体积小于治疗前（P＜0.05）。观察组患者治疗后的月经量少于对照组，痛经程度评分低于对照组，子宫内膜厚度薄于对照组，子宫体积小于对照组，差异均有统计学意义（P＜0.05）。两组患者的并发症发生率比较，差异无统计学意义（P＞0.05）。结论诺舒阻抗控制子宫内膜切除术后放置曼月乐环治疗子宫腺肌病患者的临床疗效明显，症状改善较好，值得临床推广应用。

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关键词 ：常规性热球子宫内膜切除术, 诺舒阻抗控制子宫内膜切除术, 曼月乐环, 子宫腺肌病

Abstract：Objective To investigate the effect of placing Mirena intrauterine device after endometrial resection under the control of Nuoshu impedance in the treatment of adenomyosis.Methods A total of 60 patients with adenomyosis treated in our hospital from February 2017 to March 2019 were selected as the research subjects.They were divided into the control group (n=30) and the observation group (n=30) according to different treatment methods.In the control group,conventional hot-bulb endometrial resection was used,and in the observation group,Mirena intrauterine device was adopted after endometrial resection under the control of Nuoshu impedance.The clinical efficacy,complications,and menstrual volume,dysmenorrhea score,endometrial thickness,uterine volume before and after treatment of the two groups were compared.Results The total effectiveness rate of clinical treatment in the observation group was higher than that in the control group,and the difference was statistically significant (P＜0.05).There was no significant difference in menstrual volume,dysmenorrhea score,endometrial thickness,or uterine volume between the two groups before treatment (P＞0.05).After treatment,the menstrual volume in the two groups was less than that before treatment,the score of dysmenorrhea degree in the two groups was lower than that before treatment,the thickness of endometrium in the two groups was thinner than that before treatment,and the volume of uterus in the two groups was smaller than that before treatment (P＜0.05).The menstrual volume in the observation group after treatment was less than that in the control group,the score of dysmenorrhea degree in the observation group after treatment was lower than that in the control group,the thickness of endometrium in the observation group after treatment was thinner than that in the control group,and the volume of uterus in the observation group after treatment was smaller than that in the control group,and the difference was statistically significant (P＜0.05).There was no statistically significance in the incidence of complications between the two groups (P＞0.05).Conclusion The clinical effect of Mirena intrauterine device after endometrial resection under the control of Nuoshu impedance in the treatment of adenomyosis is obvious,and the improvement of symptoms are better,which is worthy of clinical promotion and application.

Key words： Conventional hot-bulb endometrial resection Nuoshu impedance controlled endometrial resection Mirena intrauterine device Adenomyosis

引用本文:

魏静. 诺舒阻抗控制子宫内膜切除术后放置曼月乐环治疗子宫腺肌病的效果[J]. 中国当代医药, 2020, 27(14): 130-133.
WEI Jing. Effect of placing Mirena intrauterine device after endometrial resection under the control of Nuoshu impedance in the treatment of adenomyosis. 中国当代医药, 2020, 27(14): 130-133.

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http://dangdaiyiyao.com/CN/ 或 http://dangdaiyiyao.com/CN/Y2020/V27/I14/130

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