Clinical observation on hysteroscopic transcervical resection of endometrium combined with levonorgestrel-re-leasing intrauterine system in treatment of adenomyosis
10.11659/jjssx.06E014367
- VernacularTitle:子宫内膜切除联合LNG-IUS治疗子宫腺肌病的临床疗效
- Author:
Xiaodan LIU
;
Hui LIN
;
Shuzhen WU
;
Chunying CHEN
- Publication Type:Journal Article
- Keywords:
hysteroscope;
transcervical resection of endometrium;
levonorgestrel-releasing intrauterine system;
adenomyosis
- From:
Journal of Regional Anatomy and Operative Surgery
2015;(2):195-197
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe the effects of hysteroscopic transcervical resection of endometrium combined with levonorgestrel-relea-sing intrauterine system in the treatment of adenomyosis. Methods Clinical data of 62 cases with adenomyosis from January 2009 to January 2011 were randomly divided into 2 groups with 31 cases each. The observation group was given hysteroscopic transcervical resection of endo-metrium ( TCRE) combined with levonorgestrel-releasing intrauterine system( LNG-IUS) ,the control group was given LNG-IUS. All patients were followed up in 0,1,3,6,12 months after treatmenting with LNG-IUS. The menstrual blood volume,score of VAS,volume of uterus, CA125 and the levels of serum reproductive hormone were analyzed before treatment and after treatment. Results After the therapy,the cur-ative effects of controlling menorrhea were improved and the the observation group was significantly better than the control group(P<0. 05). The VAS scores were significantly decreased after the therapy in the two groups, but there was no significant difference between the two groups (P<0. 05). The level of CA125 in the observation group was significantly lower than the pretherapy,which was better than that in the control group (P<0. 05). There was no significant difference between the two groups in the volume of uterus after treatment and the levels of serum FSH,LH,E2 and P(P>0. 05). Conclusion It is exact effect to treat adenomyosis by TCRE combined with LNG-IUS,which can prevent dripping bleeding induced by application of LNG-IUS effectively.
