论文部分内容阅读
目的:分析子宫内膜异位症联合药物治疗的临床疗效。方法:选取该院妇科于2008年1月-2011年1月期间收治的100例子宫内膜异位症患者作为研究对象,所有患者均为非经期治疗,随机平均分为治疗组和对照组:对照组患者采用腹腔镜后保守治疗,术后不用任何药物;治疗组患者在术后的月经第1天服用孕三烯酮片,半年为1个疗程。术后随访1年,观察两组患者的临床疗效和并发症。结果:治疗组的总有效率为86.0%(43/50),复发率为8.0%(4/50);对照组的总有效率为62.0%(31/50),复发率为36.0%(18/50),治疗组总有效率高于对照组,复发率低于对照组,差异均具有统计学意义(P<0.05)。治疗组并发症发生率亦少于对照组,差异亦具有统计学意义(P<0.05)。结论:腹腔镜术后联合孕三烯酮治疗子宫内膜异位症患者临床疗效较好,复发率和术后并发症相对较低,是一种有效的治疗子宫内膜异位症的方法,值得临床推广。
Objective: To analyze the clinical effect of combined treatment of endometriosis. Methods: A total of 100 cases of endometriosis admitted to our hospital from January 2008 to January 2011 were enrolled in this study. All patients were treated with non-menstruation and were randomly divided into treatment group and control group. Patients in the control group were treated conservatively after laparoscopy without any medication after surgery. The patients in the treatment group took gestrinone tablets on the first day of menstruation after operation, and the course of treatment was half a year. The patients were followed up for 1 year. The clinical efficacy and complications of the two groups were observed. Results: The total effective rate was 86.0% (43/50) in the treatment group and the recurrence rate was 8.0% (4/50). The total effective rate in the control group was 62.0% (31/50) and the recurrence rate was 36.0% (18 / 50). The total effective rate in the treatment group was higher than that in the control group, and the recurrence rate was lower than that in the control group. The differences were statistically significant (P <0.05). The incidence of complications in the treatment group was also less than that in the control group, the difference was also statistically significant (P <0.05). Conclusion: Laparoscopic combined gestrinone treatment of endometriosis patients with better clinical efficacy, recurrence rate and postoperative complications is relatively low, is an effective method of treatment of endometriosis, Worth clinical promotion.