摘要
目的观察子宫腺肌病采取宫内节育器曼月乐治疗的临床效果。方法对2016年8月—2018年12月间该院收治的52例子宫腺肌病患者进行研究,运用随机数表法将患者平均分为参照组和实验组,参照组采取米非司酮治疗,实验组在此基础上增加宫内节育器曼月乐治疗,比较两组治疗效果,如疼痛评分、月经量及子宫内膜厚度等。结果实验组子宫体积为(221.50±10.05)cm^(3)及子宫内膜厚度为(0.40±0.20)mm,优于参照组(245.12±15.51)cm^(3)、(1.08±0.22)mm,差异有统计学意义(t=6.517、11.662,P<0.05);诊治前,两组疼痛评分及月经量差异无统计学意义(P>0.05);治疗后,实验组疼痛评分为(1.54±0.41)分、月经量为(42.58±15.81)mL,优于参照组(3.58±0.55)分、(62.35±17.63)mL,差异有统计学意义(t=15.163、4.257,P<0.05)。结论子宫腺肌病采取宫内节育器曼月乐治疗效果显著,可缓解患者疼痛症状,降低子宫内膜厚度,亦能改善月经量,是一种理想、科学的诊治措施,临床应用价值高。
Objective To observe the clinical effect of the intrauterine device Mirena in the treatment of adenomyosis.Methods A study was conducted on 52 patients with adenomyosis admitted to the hospital from August 2016 to December 2018.The random number table method was used to divide the patients into the reference group and the experimental group.For patients in the reference group took mifepristone treatment,the experimental group adds the intrauterine device Mirena treatment on this basis,and compared the treatment effects of the two groups,such as pain score,menstrual volume,and endometrial thickness.Results The uterine volume of the experimental group was(221.50±10.05)cm^(3) and the endometrial thickness was(0.40±0.20)mm,which was better than the reference group(245.12±15.51)cm^(3) and(1.08±0.22)mm,the difference was statistically significant(t=6.517,11.662,P<0.05);before diagnosis and treatment,there was no statistically significant difference in pain score and menstrual volume between the two groups(P>0.05);after treatment,the pain score of the experimental group was(1.54±0.41)points,and the menstrual volume was(42.58±15.81)mL,which were better than the reference group(3.58±0.55)points,(62.35±17.63)mL,the difference was statistically significant(t=15.163,4.257,P<0.05).Conclusion The treatment of adenomyosis with the intrauterine contraceptive device Mirena is effective,which can relieve the patient's pain symptoms,reduce the thickness of the endometrium,and also improve menstrual flow.It is an ideal and scientific diagnosis and treatment measure with high clinical application value.
作者
周晓娟
ZHOU Xiaojuan(Department of Obstetrics and Gynecology,Staff Hospital of Jinchuan Group,Gansu Province,Jinchang,Gansu Province,737100 China)
出处
《世界复合医学》
2021年第4期53-55,共3页
World Journal of Complex Medicine
