Observation on efficacy of the"peach-like"procedure combined with levonorgestrel-releasing intrauterine system in treatment of adenomyosis
YAN Zhenzhen
LUO Suiyu
GANG Xiaoqing
LI Xin
XU Shuo
Abstract：Objective To observe the efficacy of the"peach-like"procedure combined with levonorgestrel-releasing intrauterine system(LNG-IUS)in treatment of adenomyosis.Methods A retrospective analysis was conducted on the clinical data of 60 patients with adenomyosis who were admitted to Henan Provincial People's Hospital from January 2023 to June 2024.Thirty patients who underwent the"peach-like"procedure combined with LNG-IUS for adenomyosis were selected as the observation group,and other 30 patients who underwent laparoscopic uterine lesion resection for adenomyosis were selected as the control group.The clinical therapeutic effects were compared between the two groups 3 months after the operation.Results Before the operation,there were no statistically significant differences in uterine volume,Visual Analogue Scale(VAS)scores and Pictorial Blood Loss Assessment Chart(PBAC)scores between the two groups(P＞0.05).Compared with those before the operation,the uterine volume,VAS scores and PBAC scores were decreased in the two groups 3 months after the operation,with statistically significant differences(P＜0.05).At 3 months after the operation,the uterine volume in the observation group was smaller than that in the control group,and the VAS scores and PBAC scores in the observation group were lower than those in the control group,with statistically significant differences between the two groups(P＜0.05).The duration of operation in the observation group was shorter than that in the control group,and the intraoperative blood loss in the observation group was less than that in the control group,with statistically significant differences between the two groups(P＜0.05).There was no statistically significant difference in the length of hospital stay between the two groups(P＞0.05).Conclusion Compared with laparoscopic uterine lesion resection,the"peach-like"procedure combined with LNG-IUS in treatment of adenomyosis can shorten surgical time,reduce blood loss,decrease postoperative uterine volume,increase menstrual blood volume and improve dysmenorrhea symptoms more significantly.The combination treatment is worthy of clinical recommendation.
Keywords：AdenomyosisModified lesion resection"Peach-like"procedureLevonorgestrel-releasing intrauterine system(LNG-IUS)
Publication Date：2025-11-30
Online Publishing Date：2025-12-25(First online date of this platform, not the publication date of the document)
Pages：5( 1213-1217 )