| 摘要: |
| ［摘要］ 目的 观察子宫“水蜜桃”术式联合左炔诺孕酮宫内缓释系统（LNG-IUS）治疗子宫腺肌病的疗效。方法 回顾性分析2023年1月至2024年6月河南省人民医院收治的60例子宫腺肌病患者的临床资料，以接受“水蜜桃”术式联合LNG-IUS治疗的30例患者为观察组，接受腹腔镜下子宫病灶切除术治疗的30例患者为对照组。比较两组术后3个月临床治疗效果。结果 两组术前子宫体积、视觉模拟量表（VAS）评分及月经失血图（PBAC）评分比较差异无统计学意义（P>0.05），术后3个月两组子宫体积减小，VAS评分及PBAC评分降低，差异有统计学意义（P<0.05）。观察组术后3个月的子宫体积小于对照组，VAS评分、PBAC评分低于对照组，差异有统计学意义（P<0.05）。观察组手术时间短于对照组，术中出血量少于对照组，差异有统计学意义（P<0.05）。两组住院时间比较差异无统计学意义（P>0.05）。结论 相较于腹腔镜下子宫病灶切除术，“水蜜桃”术式联合LNG-IUS治疗子宫腺肌病手术时间更短，出血量更少，术后子宫体积更小，月经量多、痛经等症状改善更明显，值得临床推荐。 |
| 关键词: 子宫腺肌病 改良式病灶切除 “水蜜桃”术式 左炔诺孕酮宫内缓释系统 |
| DOI：10.3969/j.issn.1674-3806.2025.11.04 |
| 分类号: |
| 基金项目:河南省医学科技攻关计划联合共建项目（编号：LGHJ20190596） |
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| Observation on efficacy of the “peach-like” procedure combined with levonorgestrel-releasing intrauterine system in treatment of adenomyosis |
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YAN Zhenzhen1, LUO Suiyu2, GANG Xiaoqing2, LI Xin1, XU Shuo1
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1.Department of Obstetrics and Gynecology, the People′s Hospital of Henan University, Zhengzhou 450003, China; 2.Department of Obstetrics and Gynecology, Henan Provincial People′s Hospital(People′s Hospital of Zhengzhou University), Zhengzhou 450003, China
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| Abstract: |
| ［Abstract］ Objective To observe the efficacy of the “peach-like” procedure combined with levonorgestrel-releasing intrauterine system(LNG-IUS) in treatment of adenomyosis. Methods A retrospective analysis was conducted on the clinical data of 60 patients with adenomyosis who were admitted to Henan Provincial People′s Hospital from January 2023 to June 2024. Thirty patients who underwent the “peach-like” procedure combined with LNG-IUS for adenomyosis were selected as the observation group, and other 30 patients who underwent laparoscopic uterine lesion resection for adenomyosis were selected as the control group. The clinical therapeutic effects were compared between the two groups 3 months after the operation. Results Before the operation, there were no statistically significant differences in uterine volume, Visual Analogue Scale(VAS) scores and Pictorial Blood Loss Assessment Chart(PBAC) scores between the two groups(P>0.05). Compared with those before the operation, the uterine volume, VAS scores and PBAC scores were decreased in the two groups 3 months after the operation, with statistically significant differences(P<0.05). At 3 months after the operation, the uterine volume in the observation group was smaller than that in the control group, and the VAS scores and PBAC scores in the observation group were lower than those in the control group, with statistically significant differences between the two groups(P<0.05). The duration of operation in the observation group was shorter than that in the control group, and the intraoperative blood loss in the observation group was less than that in the control group, with statistically significant differences between the two groups(P<0.05). There was no statistically significant difference in the length of hospital stay between the two groups(P>0.05). Conclusion Compared with laparoscopic uterine lesion resection, the “peach-like” procedure combined with LNG-IUS in treatment of adenomyosis can shorten surgical time, reduce blood loss, decrease postoperative uterine volume, increase menstrual blood volume and improve dysmenorrhea symptoms more significantly. The combination treatment is worthy of clinical recommendation. |
| Key words: Adenomyosis Modified lesion resection “Peach-like” procedure Levonorgestrel-releasing intrauterine system(LNG-IUS) |
