论文部分内容阅读
目的:分析讨论左炔诺孕酮宫内缓释系统和热球子宫内膜去除术诊治月经过多的临床治疗效果,为实践和相关研究提供依据。方法:对2012年3月~2014年3月期间承德市中心医院收治的80例患者的临床资料进行分析,按照治疗方式不同分为观察组与对照组各40例。观察组患者实施热球子宫内膜去除术,对照组患者实施左炔诺孕酮宫内缓释系统治疗。治疗后随访两年分析两组患者血红蛋白、治疗安全问题、性激素等等指标。结果:两组患者经过治疗,对照组患者月经失血图评分为(60.21±17.13)分,经期范围为(8.28±1.24)天;观察组患者月经失血图评分为(52.46±30.24)分,经期范围为(7.98±1.12)天;两组患者组间比较,差异有统计学意义(P<0.05)。对照组患者治疗后血红蛋白为(110.57±7.36)g/L,观察组患者为(114.18±6.20)g/L;两组患者性激素水平差异无统计学意义(P>0.05)。观察组与对照组不规范出血率分别为15.00%(6/40)、70.00%(28/40)。两组差异有统计学意义(P<0.05)。治疗结果显示,观察组与对照组患者均无宫腔积液等并发症出现。结论:左炔诺孕酮宫内缓释系统和热球子宫内膜去除术治疗效果均较好,但是热球子宫内膜去除术疗效更为显著,在临床应用中可考虑使用。
OBJECTIVE: To analyze and discuss the clinical effects of levonorgestrel-releasing intrauterine system and thermal ball endometrial ablation in the diagnosis and treatment of menorrhagia and provide the basis for the practice and related research. Methods: The clinical data of 80 patients admitted to Chengde Central Hospital from March 2012 to March 2014 were analyzed. According to the different treatment methods, 40 cases were divided into observation group and control group. Patients in the observation group were treated with hot ball endometrial ablation, and patients in the control group were treated with levonorgestrel intrauterine system. Follow-up two years after treatment analysis of two groups of patients with hemoglobin, treatment safety issues, sex hormones and so on. Results: After treatment, the menstrual blood loss in the control group was (60.21 ± 17.13) points and the duration of menstruation was (8.28 ± 1.24) days. The score of menstrual blood loss in the observation group was (52.46 ± 30.24) points, (7.98 ± 1.12) days. The difference between the two groups was statistically significant (P <0.05). The hemoglobin in the control group was (110.57 ± 7.36) g / L after treatment and (114.18 ± 6.20) g / L in the observation group. There was no significant difference in sex hormone levels between the two groups (P> 0.05). The non-standard hemorrhage rates in observation group and control group were 15.00% (6/40) and 70.00% (28/40) respectively. The difference between the two groups was statistically significant (P <0.05). The treatment results showed that no complications such as uterine effusion occurred in the observation group and the control group. CONCLUSION: Levonorgestrel intrauterine system and hot ball endometrial ablation are effective, but the effect of hot ball endometrial ablation is more significant, which may be considered in clinical application.