GnRHa联合LNGIUS与LNGIUS治疗子宫腺肌病的短期疗效观察（基础医学范文）.docVIP

GnRHa联合LNGIUS与LNGIUS治疗子宫腺肌病的短期疗效观察（基础医学范文） 文档信息 主题： 关于“医学心理学”中“妇产科学”的参考范文。 属性： F-00HD8F，doc格式，正文7970字。质优实惠，欢迎下载！ 适用： 作为文章写作的参考文献，解决如何写好实用应用文、正确编写文案格式、内容摘取等相关工作。 作者： 佚名 目录 TOC \o 1-9 \h \z \u 目录 1 正文 1 搞要 2 关键字：促性腺激素释放激素激动剂；左炔诺孕酮宫内缓释系统；子宫腺肌病；分度治疗 2 1 资料与方法 4 2 结果 5 3 讨论 7 [参考文献] 9 论文原创声明（模板） 11 论文致谢（模板） 12 正文 GnRHa联合LNGIUS与LNGIUS治疗子宫腺肌病的短期疗效观察（基础医学范文） 搞要 摘要：目的比较促性腺激素释放激素激动剂（GnRH-a）联合左炔诺孕酮宫内缓释系统（LNG-IUS）与独立放置LNG-IUS治疗子宫腺肌病的临床疗效。方法将44例子宫腺肌病患者随机分为观察组和对照组，第1次注射GnRH-a后放置LNG-IUS设为观察组，月经来潮1～5d内放置LNG-IUS设为对照组。观察两组患者3个月、6个月痛经、月经过多症状的改善以及两组患者子宫体积变化、CA125。结果观察期内GnRH-a联合LNG-LUS将CA125由术前（plusmn;）mu;g/L下调至（plusmn;）mu;g/L；子宫体积由术前（plusmn;）cm3缩小至（plusmn;）cm3。独立放置LNG-IUS后CA125（F=，P）及子宫体积变化（F=，P）差异无统计学意义，但可缓解痛经（F=，P）及月经过多的症状（F=，P），GnRH-a联合LNG-LUS联合用药缓解痛经（术后3个月t=，P；术后6个月t=，P）、月经过多（术后3个月t=，P；术后6个月t=，P）疗效优于独立放置LNG-IUS。结论GnRH-a联合LNG-IUS对于子宫肌壁厚度或腺肌瘤最大直径为35～50mm子宫腺肌病患者，治疗半年内临床疗效优于LNG-IUS 关键字：促性腺激素释放激素激动剂；左炔诺孕酮宫内缓释系统；子宫腺肌病；分度治疗 [中图分类号] [文献标识码] B [文章编号] 1673-9701（2016）19-0063-04 [Abstract] Objective To explore that the clinic therapeutic effects of the Gonadotropin releasing hormone agonist（GnRH-a）combined with levonorgestrel-releasing intrauterine system﹙LNG-IUS﹚and independently placed LNG-IUS to theropied the adenomyosis. Methods 44 cases patients of catching adenomyosis were divided into the observation group and the control group with random. The patients who were put LNG-IUS were recognized as the observation group after the first injecting GnRH-a； The patients who were put LNG-IUS were recognized as the control group within 1 to 5 days during the menstrual period. Significant changes of the improvement of hypermenorrhea and dysmenorrhea，the uterine volumes and CA125 were observed between the two groups before and 3 months，6 months after treatment in different observation time. Results CA125 were obviously adjusted from （plusmn;）mu;g/L before the operation to （plusmn;）mu;g/L； The uterine volumes were shortened from （plusmn;）cm3 before the operation to（plus