Abstract：Objective To investigate the effect of laparoscopic resection combined with Levonorgestrel intrauterine sustained-release system in the treatment of adenomyosis.Methods From June 2016 to June 2017, 94 patients with adenomyosis in our hospital were selected as the research objects.The patients were divided into the experimental group and the control group by random number table method, with 47 patients in each group.Patients in the control group were treated by laparoscopic resection, while patients in the experimental group were treated with Levonorgestrel intrauterine sustained-release system after laparoscopic resection.The changes of dysmenorrhea, menstrual volume and hemoglobin before and after treatment were observed and compared between the two groups.The recurrence of adenomyosis in two groups within 1 year was analyzed.Results Before treatment, there were no significant differences in visual analogue score (VAS) of dysmenorrhea degree, pictorial blood loss assessment chart (PBAC) score and hemoglobin score of dysmenorrhea between the two groups (P＞0.05).After treatment, the VAS score of dysmenorrhea degree, PBAC score and hemoglobin score of dysmenorrhea degree were improved in both groups (P＜0.05), while the VAS score and PBAC score of menstrual volume in the experimental group were lower than those in the control group, and the hemoglobin level in the experimental group was significantly higher than that in the control group, the differences were statistically significant (P＜0.05).The recurrence rate of the patients in the experimental group was 0.00%, which was lower than that in the control group (12.77%), and the difference was statistically significant (P＜0.05).Conclusion The laparoscopic resection combined with Levonorgestrel intrauterine sustained-release system can improve the clinical treatment effect, improve dysmenorrhea and anemia symptoms, promote the return of menstrual volume to normal, and reduce postoperative recurrence, which is worthy of further clinical application.
冯秀英； 王华伟. 腹腔镜切除术联合左炔诺孕酮宫内缓释系统治疗子宫腺肌症的临床效果[J]. 中国当代医药, 2019, 26(14): 131-133.
FENG Xiu-ying； WANG Hua-wei. Clinical effect of laparoscopic resection combined with Levonorgestrel intrauterine sustained-release system in the treatment of adenomyosis. 中国当代医药, 2019, 26(14): 131-133.
京公网安备 11010502046607号