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目的探讨子宫内膜异位症、功能失调性子宫出血(功血)及单纯避孕妇女放置左诀诺孕酮宫内缓释系统(LNG-IUS)后的临床疗效。方法随访我院计生门诊98例子宫内膜异位症、功血及单纯避孕患者,分别于放置LNG-IUS后3、6、12个月观察其月经、副反应及患者满意度情况;同时采用口诉评分(VRS)法对47例子宫内膜异位症患者痛经程度进行评估。结果 34例功血患者放环后3、6、12个月月经量较放环前减少,差异有统计学意义(P<0.001);47例子宫内膜异位症患者放环后3、6、12个月VRS评分较放环前减小,差异有统计学意义(P<0.001)。治疗12个月,无一例发生妊娠,59例(64.9%,59/91)患者对治疗的综合效果表示非常满意或满意。结论 LNG-IUS是一种治疗子宫内膜异位症、功血及避孕的安全有效方法 。
Objective To investigate the clinical effects of endometriosis, dysfunctional uterine bleeding (dysfunctional uterine bleeding) and simple contraceptive women after intrauterine release system (LNG-IUS). Methods A total of 98 cases of endometriosis, dysfunctional uterine bleeding and simple contraception in our family planning clinic were followed up. Their menstruation, side effects and patient satisfaction were observed at 3, 6 and 12 months after LNG-IUS placement respectively. At the same time, The oral complaint score (VRS) method was used to assess the degree of dysmenorrhea in 47 patients with endometriosis. Results In 34 cases of dysfunctional uterine bleeding, the amount of menstruation at 3, 6 and 12 months after the release of ring was significantly reduced compared with that before the release of pre-release ring (P <0.001) , And the VRS score at 12 months was significantly lower than that before release (P <0.001). During the 12 months of treatment, none of the pregnancies occurred and 59 (64.9%, 59/91) patients were very satisfied or satisfied with the overall effect of treatment. Conclusion LNG-IUS is a safe and effective method for the treatment of endometriosis, dysfunctional uterine bleeding and contraception.