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目的了解保留功能性手术的范围与复发、卵巢功能的关系。方法随访1994年7月-2004年12月患盆腔子宫内膜异位症行保留功能性手术的患者60例,了解术后疼痛症状,行妇科内诊、超声检查和测定CAl25、E_2、FSH、LH,进行综合分析。结果手术累积复发率11.67%,保守性子术复发率28%,半根治性手术复发率4.8%,差异有显著性。切除卵巢组织越多,E_2水平越低。结论盆腔EM是一种容易复发的疾病,行保守性手术后必须随访,如有复发必须继续治疗。E2水平低下者,激素替代治疗后的激素水平应维持在相当于有一侧卵巢的水平。
Objective To understand the relationship between the scope of retained functional surgery and recurrence and ovarian function. Methods Follow-up Between July 1994 and December 2004, 60 patients with pelvic endometriosis who underwent functional surgery were included in this study. The patients were followed up for gynecological examination, ultrasound examination and determination of CAl25, E_2, FSH, LH, a comprehensive analysis. Results The cumulative recurrence rate was 11.67%, conservative surgery recurrence rate 28%, semi-radical surgery recurrence rate 4.8%, the difference was significant. The more ovarian tissue removed, the lower the E_2 level. Conclusions Pelvic EM is a recurrence prone disease, which must be followed up after conservative surgery. If recurrence must be continued treatment. E2 level is low, hormonal hormone replacement therapy should be maintained at the level of the equivalent of ovarian side.