Journal of Capital Medical University ›› 2006, Vol. 27 ›› Issue (5): 684-687.
• 临床研究 • Previous Articles Next Articles
Sheng Jie, Lu Dan, Zhang Jianping
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Abstract: Objective To evaluate the efficacy and safety of a levonorgestrel-releasing intrauterine system(LNG-IUS) in the treatment of endometriosisassociated pain after conservative surgery.Methods We recruited 36 women with recurrent endometriosis-associated pain after conservative surgery.All women were inserted LNG-IUS into their uterine cavity within 7 d of their periods and maintained for 12 months.We compared the mean visual analogue scale(VAS) scores of their dysmenorrhea,chronic pelvic pain(CPP) and deep dyspareunia on baseline and 12-month follow-up. Results Thirty-three women completed the study.Baseline and 12-month follow-up,mean VAS scores of dysmenorrhea and deep dyspareunia dropped very significantly,respectively,from 66.5±21.8 to 8.3±2.9 and from 64.0±17.4 to 12.0±4.9;those of chronic pelvic pain dropped significantly,from 66.2±24.3 to 26.7±21.6.There are 21.2% of the subjects with irregular uterine bleeding,33.4% of those with weight gain and 21.2% of those with ovarian cyst formation.Overall 52.8% of subjects were very satisfied or satisfied with the treatment after one year.Conclusion Insertion of a LNG-IUS alleviates endometriosis-associated pain remarkably,but irregular uterine bleeding and weight gain are the main side effects.
Key words: endometriosis, dysmenorrhea, levonorgestrel-releasing intrauterine system
CLC Number:
R711.71
Sheng Jie;Lu Dan;Zhang Jianping. A Levonorgestrel-releasing Intrauterine System in the Treatment of Endometriosis-associated Pain after Conservative Surgery[J]. Journal of Capital Medical University, 2006, 27(5): 684-687.
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URL: https://journal03.magtech.org.cn/Jweb_sdykdxxb/EN/
https://journal03.magtech.org.cn/Jweb_sdykdxxb/EN/Y2006/V27/I5/684