Efficiency of levonorgestrel-releasing intrauterine system and hysteroresectoscopic endometrial ablation in adenomyosis treatment
Abstract
There were analyzed the outcomes of adenomyosis, complicated menorrhagia and pain syndrome and its combination with hysteromyoma and endometrial hyperplasia with the usage of levonorgestrel-releasing system and endometrial ablation. It was detected that treatment efficiency in the elimination of uterine bleeding and pain syndrome by the method of LNG-IUS installation is comparable to hysteroresectoscopic endometrial ablation of endometrium. However, when the volume of uterus is more than 15000 mm3, the multimodal approach is more preferable, while hysteroresectoscopic endometrial ablation is conducted simoultaneously with the following installation of LNG-IUS, in comparison with monotreatment.
About the Author
A. S. Podgornaya
ГУ «РНПЦ радиационной медицины и экологии человека», г. Гомель, Беларусь
Russian Federation
Russian Federation
References
1. Дамиров, М.М. Современная тактика ведения больных с аденомиозом: практическое руководство / М.М. Дамиров. - Бином, 2015. - 111 с.
2. Janssen, C.A simple visual assessment technique to discriminate between menorrhagia and normal menstrual blood loss / C. Janssen, P. Scholten, A. Heintz // Obstet Gynecol. - 1995. - Vol. 85. - P. 977-982.
3. Подгорная, А.С. Современные технологии лечения меноррагий у женщин / А.С. Подгорная, Т.С. Дивакова // Медико-биологические проблемы жизнедеятельности. - №1(9). - 2013. - С. 23-33.
4. Албасова, A.B. Сочетанное применение радоновых вод и акупунктуры у больных генитальным эндометриозом с синдромом альгоменореи: Автореф. дис.. канд. мед. наук. - Пятигорск, 2000. - 20с.
5. Арютин, Д.Г. Эмболизация маточных артерий у больных с миомой матки с учетом особенностей кровоснабжения органов малого таза: автореферат диссертации на соискание ученой степени кандидата медицинских наук / Д.Г. Арютин. - Москва., 2011. - 20 с.
6. Зыкин, Б.И. Ультразвуковое исследование яичников. Клиническое руководство по ультразвуковой диагностике: в 5 т. Т.3. / Б.И. Зыкин, О.В. Проскурякова, М.Н. Буланов; под ред. В.В. Митькова, М.В. Медведева. - М.: Видар-М, 2003. - С. 132-174.
7. Clegg, J.P. Cost-utility of levonorgestrel intrauterine system compared with hysterectomy and second generation endometrial ablative techniques in managing patients with menorrhagia in the UK / J.P. Clegg, J.F. Guest, R. Hurskainen // Current medical research and opinion. - 2007. - Vol. 23, No. 7. - P. 1637-?1648.
8. Hysterectomy, endometrial ablation and Mirena® for heavy menstrual bleeding: a systematic review of clinical effectiveness and cost-effectiveness analysis / S. Bhattacharya [et al.] // Healt Technology Assessment. - 2011. - Vol. 15, No 19.
Review
For citations:
Podgornaya A.S. Efficiency of levonorgestrel-releasing intrauterine system and hysteroresectoscopic endometrial ablation in adenomyosis treatment. Medical and Biological Problems of Life Activity. 2017;(1):154-162. (In Russ.)
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