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目的:研究腹腔镜手术联合GnRH-a治疗卵巢子宫内膜异位囊肿的临床疗效。方法:2010年1月至2011年6月浙江省杭州市余杭区妇幼保健院90例腹腔镜下卵巢子宫内膜异位囊肿术后的患者随机分为两组:单纯腹腔镜手术组38例;联合治疗组52例,即腹腔镜术后给予皮下注射诺雷德3.6mg,以后每28天注射1次,疗程3～6月。两组病例术后观察随访3～12个月。结果:术后随访率98%(88∕90)。联合治疗组有效率68.6%,单纯手术组有效率40.5%,联合治疗组的疗效明显高于单纯手术组(P<0.05)。结论:腹腔镜术后联合GnRH-a治疗卵巢子宫内膜异位囊肿疗效优于单纯手术治疗,可以作为卵巢子宫内膜异位囊肿临床治疗较佳选择。
Objective: To study the clinical efficacy of laparoscopic surgery combined with GnRH-a in the treatment of ovarian endometriotic cysts. METHODS: From January 2010 to June 2011, 90 patients with laparoscopic ovarian endometriosis after surgery in Yuhang District Maternity and Child Care Hospital of Hangzhou, Zhejiang Province were randomly divided into two groups: laparoscopic surgery group (n = 38) Combined treatment group of 52 cases, that is, laparoscopic subcutaneous injection of Noread 3.6mg, after every 28 days after injection 1, treatment of 3 to 6 months. Two groups of patients were followed up for 3 to 12 months. Results: The follow-up rate was 98% (88/90). The effective rate was 68.6% in the combined treatment group and 40.5% in the simple operation group, and the curative effect in the combined treatment group was significantly higher than that in the simple operation group (P <0.05). Conclusions: Laparoscopic surgery combined with GnRH-a in the treatment of ovarian endometriotic cysts is superior to simple surgical treatment and may be a better choice for clinical treatment of ovarian endometriosis.