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目的探究腹腔镜子宫腺肌瘤切除术联合GnRH-a类药物、左炔诺孕酮宫内缓释系统治疗的疗效。方法选取2014年8月-2015年8月在山西医科大学第二医院接受治疗的52例子宫腺肌瘤患者作为研究对象,对患者行腹腔镜子宫腺肌瘤切除术联合GnRH-a类药物、左炔诺孕酮宫内缓释系统治疗。观察患者术后治疗效果。结果患者治疗后的月经周期、经期以及经量明显少于术前,血红蛋白高于术前,子宫体积以及疼痛评分明显低于术前,经分析差异均有统计学意义(P<0.05)。结论在对子宫腺肌瘤患者的治疗中,采用腹腔镜子宫腺肌瘤切除术联合GnRH-a类药物、左炔诺孕酮宫内缓释系统治疗具有较好的效果,可以改善患者的月经量、痛经以及贫血等症状,具有较高的应用价值。
Objective To investigate the efficacy of laparoscopic adenomyosis combined with GnRH-a drugs and levonorgestrel intrauterine sustained release system. Methods A total of 52 patients with adenomyosis of the uterus treated at the Second Hospital of Shanxi Medical University from August 2014 to August 2015 were enrolled in this study. Patients underwent laparoscopic adenomyosis combined with GnRH-a drugs, Levonorgestrel intrauterine system of sustained release. Observe the effect of postoperative treatment. Results After treatment, the menstrual cycle, menstrual period and the amount of menstruation were significantly less than those before operation. The hemoglobin levels before operation, uterine volume and pain scores were significantly lower than those before operation. The differences were statistically significant (P <0.05). Conclusion In the treatment of patients with adenomyosis, laparoscopic adenomyoma combined with GnRH-a drugs, levonorgestrel intrauterine system of sustained release has a good effect, can improve the patient’s menstrual Amount, dysmenorrhea and anemia and other symptoms, has a high value.