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目的:探究内异消方联合保守手术及戈舍瑞林治疗子宫内膜异位症患者的疗效。方法:选取2013年1月—6月来医院就诊的子宫内膜异位症的患者50例为对照组,给予腹腔保守手术联合戈舍瑞林治疗方法;选取2013年7月—12月来医院就诊的子宫内膜异位症患者50例为观察组,观察组在对照组的基础上采用内异消方进行治疗。观察两组患者的治疗效果、妊娠情况、病情复发情况。结果:对照组治愈人数为25例,改善14例,无效11例,总有效率为78%;观察组治愈人数为32例,改善16例,无效2例,总有效率为96%,明显高于对照组(P<0.05);对照组自然妊娠人数为11例,体外受精人数为2例,总受孕率为26%;观察组自然妊娠人数为17例,体外受精人数为5例,总受孕率为44%,明显高于对照组,两组间差异有统计学差异(P<0.05);对照组患者里治疗1年后复发人数为11例,复发率为22%,观察组为6人,复发率为12%,低于对照组(P<0.05)。结论:内异消方联合保守手术及戈舍瑞林治疗子宫内膜异位症患者疗效显著,安全高效,值得临床推广应用。
Objective: To investigate the curative effect of Nei Yi Xiao Fang combined with conservative surgery and Goserelin for endometriosis patients. Methods: Fifty patients with endometriosis who visited the hospital from January to June in 2013 were selected as the control group, and received conservative treatment of abdominal surgery with goserelin. The hospital from July to December 2013 Fifty patients with endometriosis were selected as the observation group. The observation group was treated with Nei Yi Xiao Fang on the basis of the control group. Observed the treatment effect of two groups of patients, pregnancy status, the recurrence of the situation. Results: In the control group, the cure rate was 25 cases, 14 cases improved, 11 cases ineffective and the total effective rate was 78%. In the observation group, 32 cases were cured, 16 cases improved and 2 cases ineffective. The total effective rate was 96% (P <0.05). The number of spontaneous pregnancy in control group was 11 cases, the number of in vitro fertilization was 2 cases and the total pregnancy rate was 26%. The number of natural pregnancy in observation group was 17 cases, the number of in vitro fertilization was 5 cases, The rate was 44%, significantly higher than the control group, the difference between the two groups was statistically significant (P <0.05); control group patients after treatment for 1 year the number of recurrence was 11 cases, the recurrence rate was 22%, the observation group was 6 , The recurrence rate was 12%, lower than the control group (P <0.05). Conclusion: Nei Yi Xiao Fang combined with conservative surgery and goserelin in the treatment of endometriosis patients with significant effect, safe and efficient, worthy of clinical application.