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目的:对左炔诺孕酮宫内缓释系统(曼月乐)用于治疗顽固性功能失调性子宫出血的临床疗效进行评价分析。方法:选取2011年3月—2014年1月因月经量过多前来我院就诊的221例患者,确诊顽固性功血的患者63例,均于月经来潮7天内或诊刮术后第5天,给予放置曼月乐,对比分析患者放置前后的月经量、贫血改善情况。结果:经曼月乐疗效观察,治愈55例(87.3%),无效8例(12.7%)。结论:曼月乐用于治疗顽固性功能失调性子宫出血疗效确切,可有效减少月经量,改善贫血,减少手术的可能性及术后并发症的发生。
Objective: To evaluate the clinical efficacy of levonorgestrel-releasing intrauterine system (Mirena) for the treatment of intractable dysfunctional uterine bleeding. Methods: From March 2011 to January 2014, 221 patients who came to our hospital due to excessive menstrual flow and 63 patients with refractory dysfunctional uterine bleeding were diagnosed within 7 days after menstruation or 5 Day, to give place Mirena, comparative analysis of patients before and after the menstrual flow, anemia to improve the situation. Results: The efficacy of Mirena was observed in 55 cases (87.3%) cured and 8 cases (12.7%) ineffective. Conclusion: Mirena used in the treatment of intractable dysfunctional uterine bleeding is effective, which can effectively reduce the amount of menstruation, improve anemia, reduce the possibility of surgery and postoperative complications.