Insertion of mirena after endometrial resection in patients with adenomyosis

被引：88

作者：

Maia, H ^{[1
]}

Maltez, A ^{[1
]}

Coelho, G ^{[1
]}

Athayde, C ^{[1
]}

Coutinho, EM ^{[1
]}

机构：

[1] CEPARH, BR-4210341 Salvador, BA, Brazil

来源：

JOURNAL OF THE AMERICAN ASSOCIATION OF GYNECOLOGIC LAPAROSCOPISTS | 2003年 / 10卷 / 04期

关键词：

D O I：

10.1016/S1074-3804(05)60158-2

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

Study Objective. To evaluate the efficacy of Mirena, a levonorgestrel-releasing intrauterine device, after endometrial resection for treatment of menorrhagia caused by adenomyosis. Design. Open, randomized, observational study (Canadian Task Force classification II-2). Setting. Private hospital. Patients. Ninety-five women. Intervention. Endometrial resection, after which control patients received no further treatment and study patients had Mirena inserted immediately after the procedure. Measurements and Main Results. The rate of amenorrhea after 1 year was significantly higher in the Mirena group. Nineteen percent of women in the control group had a second procedure to control bleeding compared with none in the Mirena group. Conclusion. Insertion of Mirena after endometrial resection is effective treatment for menorrhagia caused by adenomyosis and has very few adverse effects.

引用

页码：512 / 516

页数：5

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