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一项关于宫内放置左炔诺孕酮宫内节育系统(LNG-IUD)一年前后女性子宫内膜活性的形态计量学研究。

A morphometric study on the endometrial activity of women before and after one year with LNG-IUD in situ.

作者信息

Gu Z, Zhu P, Luo H, Zhu X, Zhang G, Wu S

机构信息

National Research Institute for Family Planning, Beijing, China.

出版信息

Contraception. 1995 Jul;52(1):57-61. doi: 10.1016/0010-7824(95)00125-t.

DOI:10.1016/0010-7824(95)00125-t
PMID:8521716
Abstract

The endometrium was studied by morphometry in 34 healthy women before and after one year's use of an IUD releasing levonorgestrel at a rate 20 micrograms/24 hr (LNG-IUD-20). The effect was compared with that of an IUD releasing 2 micrograms levonorgestrel/24 hr (LNG-IUD-2). The appearance of suppressed endometrial proliferative activity and increased inflammatory reaction was similar in the two experimental groups, suggesting that the morphological alterations were independent of the LNG dosage. The result of this study, combined with clinical data, suggests that LNG-IUD-20 could replace LNG-IUD-2 without any additional side effects. The efficacy of LNG-IUD-20 is also likely to last for a longer period than the LNG-IUD-2.

摘要

对34名健康女性在使用每日释放20微克左炔诺孕酮的宫内节育器(LNG-IUD-20)一年前后进行子宫内膜形态测量学研究。将其效果与每日释放2微克左炔诺孕酮的宫内节育器(LNG-IUD-2)进行比较。两个实验组中子宫内膜增殖活性受抑制和炎症反应增加的表现相似,表明形态学改变与左炔诺孕酮剂量无关。本研究结果结合临床数据表明,LNG-IUD-20可以替代LNG-IUD-2,且不会产生任何额外副作用。LNG-IUD-20的疗效可能也比LNG-IUD-2持续时间更长。

相似文献

1
A morphometric study on the endometrial activity of women before and after one year with LNG-IUD in situ.一项关于宫内放置左炔诺孕酮宫内节育系统(LNG-IUD)一年前后女性子宫内膜活性的形态计量学研究。
Contraception. 1995 Jul;52(1):57-61. doi: 10.1016/0010-7824(95)00125-t.
2
Effect of levonorgestrel-releasing intrauterine device on hormonal profile and menstrual pattern after long-term use.左炔诺孕酮宫内节育器长期使用后对激素水平和月经模式的影响。
Contraception. 1995 Jun;51(6):359-65. doi: 10.1016/0010-7824(95)00102-g.
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Progestin receptor isoforms and prostaglandin dehydrogenase in the endometrium of women using a levonorgestrel-releasing intrauterine system.使用左炔诺孕酮宫内节育系统的女性子宫内膜中的孕激素受体亚型和前列腺素脱氢酶
Hum Reprod. 1998 May;13(5):1210-7. doi: 10.1093/humrep/13.5.1210.
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Levonorgestrel-releasing IUD as a method of contraception with therapeutic properties.左炔诺孕酮宫内节育器作为一种具有治疗特性的避孕方法。
Contraception. 1995 Nov;52(5):269-76. doi: 10.1016/0010-7824(95)00210-2.
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Hormonal intrauterine devices.激素宫内节育器
Ann Med. 1993 Apr;25(2):143-7. doi: 10.3109/07853899309164158.
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Morphological and functional features of endometrial decidualization following long-term intrauterine levonorgestrel delivery.长期宫内左炔诺孕酮给药后子宫内膜蜕膜化的形态学和功能特征
Hum Reprod. 1998 May;13(5):1218-24. doi: 10.1093/humrep/13.5.1218.
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A risk-benefit assessment of the levonorgestrel-releasing intrauterine system.左炔诺孕酮宫内节育系统的风险效益评估。
Drug Saf. 1996 Dec;15(6):430-40. doi: 10.2165/00002018-199615060-00006.
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Detailed analysis of menstrual bleeding patterns after postmenstrual and postabortal insertion of a copper IUD or a levonorgestrel-releasing intrauterine system.月经后及流产后插入铜宫内节育器或左炔诺孕酮宫内缓释系统后月经出血模式的详细分析。
Contraception. 1996 Oct;54(4):201-8. doi: 10.1016/s0010-7824(96)00189-8.
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An evaluation of the levonorgestrel-releasing IUD: its advantages and disadvantages when compared to the copper-releasing IUDs.左炔诺孕酮宫内节育器评估:与含铜宫内节育器相比的优缺点。
Contraception. 1991 Dec;44(6):573-88. doi: 10.1016/0010-7824(91)90078-t.
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The effect of levonorgestrel-releasing intrauterine device (20 micrograms/day) (LNG-IUD-20) on the morphological structure of human endometrium: a study of the endometrial factor VIII activity in the women before and after insertion of LNG-IUD-20 by the digital image analysis.左炔诺孕酮宫内节育器(20微克/天)(LNG-IUD-20)对人子宫内膜形态结构的影响:通过数字图像分析对放置LNG-IUD-20前后女性子宫内膜因子VIII活性的研究
Contraception. 1995 Jul;52(1):63-8. doi: 10.1016/0010-7824(95)00126-u.

引用本文的文献

1
Morphological and Ultrastructural Changes in Human Endometrium Following Low-Dose Levonorgestrel Contraceptive Intrauterine Systems (LNG-IUS-12) 13.5 mg.低剂量左炔诺孕酮宫内节育系统(LNG-IUS-12,13.5毫克)作用后人类子宫内膜的形态学和超微结构变化
J Obstet Gynaecol India. 2015 Oct;65(5):323-7. doi: 10.1007/s13224-014-0620-6. Epub 2014 Oct 29.