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目的:探讨子宫内膜异位症术后置左炔诺孕酮宫内节育器的疗效。方法:选取我院在2008年4月至2011年3月收治的136例子宫内膜异位症患者,所有患者都自愿接受调查和服从所有准则。根据患者在手术后是否置左炔诺孕酮宫内节育器将其随机分为两组,观察组和对照组。观察两组患者在手术后出现的痛经情况,月经量,激素水平,复发情况,以及CA125的变化等,并将所得到的资料进行对比分析和研究。结果:在痛经程度,复发情况,月经量比较方面观察组和对照组有明显的差异,差异具有统计学意义。结论:在子宫内膜异位症(没有生育要求)术后置左炔诺孕酮宫内节育器具有很好的临床疗效,一方面可以降低患者痛经程度,疾病的复发情况,另一方面对患者的依从性也比较好,因此该治疗方法值得在临床上推广和使用。
Objective: To investigate the efficacy of post-levonorgestrel-induced IUD in patients with endometriosis. Methods: 136 cases of endometriosis admitted in our hospital from April 2008 to March 2011 were selected. All patients were volunteered for investigation and obeyed all the guidelines. Patients were randomly divided into two groups according to whether levonorgestrel was administered after operation. The observation group and the control group. Dysmenorrhea, menstrual flow, hormone levels, recurrence and changes of CA125 were observed after operation in both groups. The data obtained were compared and analyzed. Results: There were significant differences between the observation group and the control group in the degree of dysmenorrhea, recurrence and menstrual flow, the difference was statistically significant. Conclusions: Levonorgestrel IUD after endometriosis (without fertility requirements) has good clinical efficacy, on the one hand it can reduce the degree of dysmenorrhea and the recurrence of the disease, on the other hand, Patient compliance is also better, so the treatment is worth promoting and using clinically.