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目的分析曼月乐(左炔诺孕酮宫内节育系统)治疗子宫腺肌症效果。方法将2012年4月—2017年1月60例子宫腺肌症患者作研究对象并随机分组。米非司酮组采用米非司酮治疗,曼月乐组则给予曼月乐治疗。比较两组子宫腺肌症治疗总有效率;痛经缓解时间、月经恢复正常时间、病灶消失时间;干预前后患者月经量、FSH、LH水平。结果曼月乐组子宫腺肌症治疗总有效率高于米非司酮组,P<0.05;曼月乐组痛经缓解时间、月经恢复正常时间、病灶消失时间短于米非司酮组,P<0.05;干预前两组月经量、FSH、LH水平相近,P>0.05;出院时曼月乐组月经量、FSH、LH水平优于米非司酮组,P<0.05。结论曼月乐治疗子宫腺肌症效果确切,可促使FSH、LH和月经量改善,缩小病灶,缓解痛经等症状,值得推广。
Objective To analyze the effect of Mirena (levonorgestrel intrauterine system) in treatment of adenomyosis. Methods From April 2012 to January 2017, 60 patients with adenomyosis were randomly divided into groups. Mifepristone group with mifepristone treatment, Mirena group was given Mirena music therapy. The total effective rate of treatment of adenomyosis was compared between the two groups. The time of dysmenorrhea, the normal period of menstruation, the disappearance time of the lesion and the menstrual flow, FSH and LH levels before and after the intervention were compared. Results The total effective rate of treatment of adenomyosis in Mirena group was higher than that in mifepristone group (P <0.05). The pain relieving time, menstruation recovery time and the disappearance time of Mirena were shorter than those in mifepristone group <0.05. Before menstruation, menstruation, FSH and LH levels were similar (P> 0.05). Menstrual flow, FSH and LH levels in Mirena group were better than mifepristone group at discharge (P <0.05). Conclusion Mirena music treatment of adenomyosis exact effect, can promote FSH, LH and menstrual flow to improve, reduce the lesion, relieve dysmenorrhea and other symptoms, it is worth promoting.