Modified Fixation of Levonorgestrel-releasing Intrauterine System for the Treatment of Adenomyosis
[Objective]To introduce a fixation technique with the modified levonorgestrel-releasing intrauterine sys-tem(LNG-IUS)and evaluate its efficacy in the treatment of adenomyosis patients with previous LNG-IUS expulsion.[Methods]A retrospective analysis was done on 22 adenomyosis patients who underwent modified LNG-IUS fixation due to LNG-IUS expulsion at three hospitals from June 2022 to June 2023.The baseline clinical characteristics,operative and postoperative details were collected and analyzed.The Visual analogu scale(VAS)scores and pictorial blood loss assess-ment chart(PBAC)scores were measured and compared before,3 and 6 months after the LNG-IUS fixation.[Results]The mean operative time was(19.51±7.41)min and intraoperative bleeding was(6.71±5.30)mL.Of the patients,13 were operated under local anaesthesia and the other 9 under intravenous anaesthesia.There were 4 operations performed by a resident doctor,15 by an attending doctor and 3 by a senior doctor.No intraoperative or postoperative complication was found.The mean follow-up was 11.51 months and no patient had a recurrence of LNG-IUS expulsion during the follow-up period.The mean level of hemoglobin at 1 month after operation was significantly higher than that before(P<0.001).VAS scores and PBAC scores at 3 and 6 months postoperatively were all improved significantly than those preoperatively(P<0.001).[Conclusions]Effectively preventing the recurrence of LNG-IUS expulsion,modified LNG-IUS fixation is a safe and efficient method for adenomyosis patients with previous LNG-IUS expulsion.Modified LNG-IUS fixation deserves the clinical application due to its easy operation and wide range of use on women.
万方数据
维普
