论文部分内容阅读
目的探究腹腔镜联合药物治疗中重度卵巢子宫内膜异位囊肿(OEM)合并不孕的临床疗效。方法选取2014年1月-2016年1月该院收治的中重度OEM合并不孕患者78例,按照随机分配原则分为对照组与观察组,各39例。对照组应用腹腔镜手术治疗,观察组采用腹腔镜联合孕三烯酮治疗。比较两组治疗后3个月的临床疗效,术后12个月和24个月的复发率和妊娠率。结果术后3个月,观察组治疗总有效率(94.9%)显著高于对照组(74.4%)(P<0.05)。术后12个月和24个月,观察组妊娠率明显高于对照组,而复发率明显低于对照组(均P<0.05)。结论腹腔镜联合孕三烯酮治疗中重度OEM合并不孕的临床效果较好,治疗后妊娠率较高,复发率较低。
Objective To investigate the clinical efficacy of laparoscopic combined with drug treatment of moderate and severe ovarian endometriosis (OEM) with infertility. Methods From January 2014 to January 2016, 78 patients with moderate-to-severe OEM combined infertility admitted to our hospital from January 2014 to January 2016 were divided into control group and observation group according to the principle of random distribution, with 39 cases in each group. The control group was treated with laparoscopic surgery. The observation group was treated with laparoscopy combined with gestrinone. The clinical efficacy, the recurrence rate at 12 months and 24 months and the pregnancy rate were compared between the two groups after 3 months of treatment. Results The total effective rate (94.9%) in the observation group was significantly higher than that in the control group (74.4%) at 3 months (P <0.05). The pregnancy rates in the observation group were significantly higher than those in the control group at 12 months and 24 months after operation, while the recurrence rates were significantly lower than those in the control group (all P <0.05). Conclusions Laparoscopy combined with gestrinone in the treatment of moderate to severe OEM with infertility has a good clinical effect. After treatment, the pregnancy rate is higher and the recurrence rate is lower.