使用左炔诺孕酮宫内节育系统治疗腹膜包涵囊肿：一例报告。

Tamai Hanako, Kinugasa Masato, Nishio Miho, Miyake Mayu

Department of Obstetrics and Gynecology, Amagasaki Co-op Hospital, 12-16-1 Minamimukonoso, Amagasaki 661-0033, Japan.

Case Rep Womens Health. 2019 Mar 28;22:e00113. doi: 10.1016/j.crwh.2019.e00113. eCollection 2019 Apr.

Patients with peritoneal inclusion cysts (PICs) often suffer from progressive abdominal or pelvic pain. There is no established treatment. We present the case of a 42-year-old woman with PICs complaining of progressive abdominal pain and fullness who was initially treated with drainage and gonadotropin releasing hormone agonist (GnRHa). Despite the treatment, her symptoms worsened approximately one year later. She was again treated with drainage and GnRHa, and subsequently a levonorgestrel-releasing intrauterine system (LNG-IUS) was placed in her intrauterine cavity. Thereafter, her condition stabilized and no complications were reported. The LNG-IUS may be an effective management option for patients with PICs.

腹膜包涵囊肿（PICs）患者常遭受进行性腹痛或盆腔疼痛。目前尚无既定的治疗方法。我们报告一例42岁患有PICs的女性病例，该患者主诉进行性腹痛和腹胀，最初接受了引流和促性腺激素释放激素激动剂（GnRHa）治疗。尽管进行了治疗，但大约一年后她的症状仍恶化。她再次接受了引流和GnRHa治疗，随后在其宫腔内放置了左炔诺孕酮宫内节育系统（LNG-IUS）。此后，她的病情稳定，未报告有并发症。LNG-IUS可能是PICs患者的一种有效治疗选择。