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目的探讨宫、腹腔镜联合药物治疗女性不孕症盆腔子宫内膜异位症的治疗效果。方法选择2009年来本院收治的60例不孕症合并子宫内膜异位症的病例,采用宫、腹腔镜检查及手术治疗,随机分为对照组和术后治疗组,对照组术后不用任何药物,术后治疗组在术后月经来潮第1天予以皮内注射戈舍瑞林3.6 mg,每28 d一次,连用3个月。结果对照组显效12例,占40%,有效10例,占33.3%,无效8例,占26.7%,总有效率为73.3%,随访1年中有22例妊娠,占73.3%,治疗组显效15例,占50%,有效12例,占40%,无效3例,占10%,总有效率90%,随访1年中全部患者均成功怀孕,治疗组总有效率及妊娠率明显优于对照组,结果比较差异具有统计学意义(P<0.05)。结论宫、腹腔镜联合戈舍瑞林治疗,操作简便,副作用小,有推广应用的价值。
Objective To explore the treatment of pelvic endometriosis in women with infertility due to laparoscopy combined with laparoscopy. Methods Sixty cases of infertility with endometriosis admitted to our hospital in 2009 were randomly divided into control group and postoperative treatment group by laparoscopy and surgery. Drugs, postoperative treatment group in the first menstrual cramps after intragastric administration of goserelin 3.6 mg, once every 28 d, once every 3 months. Results The control group was significantly improved in 12 cases, 40%, effective in 10 cases, accounting for 33.3%, ineffective in 8 cases, accounting for 26.7%, the total effective rate was 73.3%, followed up for 1 year in 22 cases of pregnancy, accounting for 73.3% 15 cases, accounting for 50%, effective in 12 cases, accounting for 40%, invalid in 3 cases, accounting for 10%, the total effective rate of 90%, all patients were successfully pregnant one year follow-up treatment group was significantly better than the total effective rate and pregnancy rate Control group, the difference was statistically significant (P <0.05). Conclusions Palace, laparoscopy combined with goserelin treatment, simple operation, small side effects, the value of popularization and application.