지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2013.1
- 수록면
- 36 - 40 (5page)
이용수
초록· 키워드
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Objective The aim of the present study was to identify variables associated with treatment failure in women with menorrhagia who were treated with thermal balloon ablation (TBA) or levonorgestrel releasing intrauterine system (LNG-IUS), and to determine if there are subgroups where one treatment type is more effective than the other.
Methods The study included 106 women with menorrhagia who were treated with TBA or LNG-IUS at the study institute between January 2003 and December 2007, with a follow-up period greater than 12 months. Data were collected by retrospective review of medical records. Treatment failure was defined as persistent or recurrent menorrhagia within one year after treatment or hysterectomy at any time during follow-up. The relationships between variables and treatment outcome were analyzed using the chi-square or Fisher’s exact test. The treatment outcome of TBA was compared with LNG-IUS.
Results Sixty-seven women were treated with TBA and 39 women were managed with LNG-IUS. Fifty-two women had a myoma ≥2.5 cm. Treatment failure was observed in 24 women (2 recurrent or persistent menorrhagia and 22 hysterectomies) and myoma size (≥2.5 cm vs. <2.5 cm) was associated with treatment outcome. TBA and LNG-IUS showed similar treatment outcomes.
Conclusion A large myoma is a risk factor for treatment failure in women with menorrhagia treated with TBA or LNG-IUS.
목차
등록된 정보가 없습니다.
참고문헌 (24)
참고문헌 신청
Apgar BS / 2007 / Treatment of menorrhagia / Am Fam Physician 75 : 1813 ~ 1819
Busfield RA / 2006 / A randomised trial comparing the levonorgestrel intrauterine system and thermal balloon ablation for heavy menstrual bleeding / BJOG 113 : 257 ~ 263
Carlson KJ / 1994 / The Maine Women’s Health Study: II. Outcomes of nonsurgical management of leiomyomas, abnormal bleeding, and chronic pelvic pain / Obstet Gynecol 83 : 56
Cooper KG / 1999 / Two-year follow up of women randomised to medical management or transcervical resection of the endometrium for heavy menstrual loss : clinical and quality
Crosignani PG / 1997 / Levonorgestrel-releasing intrauterine device versus hysteroscopic endometrial resection in the treatment of dysfunctional uterine bleeding / Obstet Gyn
Busfield RA / 2006 / A randomised trial comparing the levonorgestrel intrauterine system and thermal balloon ablation for heavy menstrual bleeding / BJOG 113 : 257 ~ 263
Carlson KJ / 1994 / The Maine Women’s Health Study: II. Outcomes of nonsurgical management of leiomyomas, abnormal bleeding, and chronic pelvic pain / Obstet Gynecol 83 : 56
Cooper KG / 1999 / Two-year follow up of women randomised to medical management or transcervical resection of the endometrium for heavy menstrual loss : clinical and quality
Crosignani PG / 1997 / Levonorgestrel-releasing intrauterine device versus hysteroscopic endometrial resection in the treatment of dysfunctional uterine bleeding / Obstet Gyn
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