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目的:探讨腹腔镜联合孕三烯酮治疗子宫内膜异位囊肿的疗效及防治子宫内膜异位囊肿复发的可行性及临床价值。方法:选择2005年1月～2007年3月行腹腔镜手术的卵巢子宫内膜异位囊肿患者72例,依据是否联合药物治疗分为单纯腹腔镜手术组35例和孕三烯酮联合治疗组37例。随访24～36个月,对症状缓解情况、术后复发率进行比较分析。结果:单纯手术组的复发率为51.43%,联合治疗组的复发率为18.9%,差异有统计学意义。结论:腹腔镜术后联合孕三烯酮有利于防治卵巢子宫内膜异位囊肿复发,可以作为卵巢子宫内膜异位囊肿术联合治疗的选择方案。
Objective: To investigate the efficacy and clinical value of laparoscopy combined with gestrinone in treatment of endometriosis cyst and prevention and treatment of recurrence of endometriosis cyst. Methods: Seventy-two patients with ovarian endometriosis undergoing laparoscopic surgery from January 2005 to March 2007 were enrolled in this study. Seventy-two patients undergoing laparoscopic surgery combined with gestrinone therapy 37 cases. Follow up for 24 to 36 months, the symptom relief, postoperative recurrence rates were compared. Results: The recurrence rate was 51.43% in the simple operation group and 18.9% in the combined treatment group, the difference was statistically significant. Conclusion: Combined gestrinone after laparoscopic surgery is helpful for the prevention and treatment of ovarian endometriosis recurrence, which can be used as a treatment option for ovarian endometriosis cyst.