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目的研究腹腔镜与亮丙瑞林联合治疗在卵巢子宫内膜异位囊肿的临床治疗中的疗效和应用。方法选取116例卵巢子宫内膜异位囊肿患者,按照随机原则分为观察组和对照组,其中观察组56人接受腹腔镜手术联合亮丙瑞林治疗,对照组60人接受单纯腹腔镜手术治疗。对比两组患者的临床疗效、术后妊娠率和复发率。结果观察组治疗有效率在78.6%,显著高于对照组的43.3%,自然妊娠率为46.7%,显著高于对照组的18.2%,术后异位囊肿复发率在11.9%,显著低于对照组的33.3%,以上各项评价指标组间差异均P<0.05,有统计学意义。结论腹腔镜联合亮丙瑞林治疗对卵巢子宫内膜异位囊肿的临床疗效显著,对减少术后复发率,保持良好的自然妊娠行为具有重要作用。
Objective To study the efficacy and application of laparoscopic combined with leuprorelin in the treatment of ovarian endometriotic cysts. Methods One hundred and sixteen patients with ovarian endometriosis were selected and randomly divided into observation group and control group. Among them, 56 patients in observation group received laparoscopic surgery combined with leuprolide, and 60 in control group received simple laparoscopic surgery . The clinical efficacy, postoperative pregnancy rate and recurrence rate were compared between the two groups. Results The effective rate of observation group was 78.6%, significantly higher than that of control group (43.3%), natural pregnancy rate was 46.7%, significantly higher than that of control group (18.2%) and postoperative ectopic cyst recurrence rate was 11.9% 33.3% of the group, all of the above evaluation indicators between the groups were P <0.05, with statistical significance. Conclusion Laparoscopic combined with leuprolide in the treatment of ovarian endometriotic cysts significant clinical effect, to reduce the recurrence rate, to maintain good natural pregnancy behavior has an important role.