摘要
Abstract
Objective To investigate the clinical treatment of menorrhagia in patients with chronic renal insufficiency. Methods The clinical data of 40 cases with chronic renal insufficiency treated with levonorgestrel releasing intrauterine system in our hospital from February 2008 to February 2012 were analyzed retrospectively. Results The menstrual blood volume reduced significantly after three months of the placement treatment of levonorgestrel releasing intrauterine system in 40 patients, and spotting or minimal menstrual hemorrhage were happened after 12 months, 2 cases happened amenorrhea. The PBAC score before the treatment was (135.7±40.6) score, while the PBAC score after 6 months of the treatment was (32.8±8.7)score, and the difference was statistically significant(P < 0.05). The average menstrual period after 3 months of the treatment was (16.3±7.4)days, while the average menstrual period after 6 months of the treatment was (8.4±5.3) days, and the difference was statistically significant(P < 0.05). Compared with before the treatment, the level of hemoglobin increased significantly, the thickness of endometrium reduced significantly,and the differences were statistically significant(P<0.05); while the difference of average concentration of serum progesterone were not statistically significant(P > 0.05). Conclusion Levonorgestrel releasing intrauterine system treatment for menorrhagia in patients with chronic renal insufficiency can reduce the menstrual blood volume significantly, increase the level of hemoglobin, reduce the thickness of endometrium, improve clinical signs and symptoms, and no significant adverse reaction happen, improve the prognosis of patients significantly. It has very positive clinical significance, and is worthy of clinical application widely.关键词
慢性肾功能不全/月经过多/左炔诺孕酮宫内缓释系统Key words
Chronic renal insufficiency/Menorrhagia/Levonorgestrel releasing intrauterine system分类
医药卫生
