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目的探讨腹腔镜手术联合超小剂量米非司酮治疗子宫内膜异位症的临床疗效。方法选取2010年至2011年我院收治的92例子宫内膜异位症患者,随机分成对照组和研究组,每组30例。对照组行腹腔镜手术治疗,研究组在此基础上口服6.25 mg/d米非司酮片剂,连服6个月,1次/d。结果 92例EM患者均行腹腔镜手术,其中行单侧附件切除术的7例,行输卵管造口术的22例,行卵巢子宫内膜异位囊肿剥除术的63例,出血量8~65 ml,手术时间40~135 min,术后住院3~4 d。研究组患者的有效率、受孕情况明显高于对照组;研究组患者的复发率要明显低于对照组,差异有统计学意义(χ2=9.90,P<0.01)。结论腹腔镜手术联合超小剂量米非司酮治疗子宫内膜异位症临床疗效较佳,安全可靠,复发率低,能够有效缓解患者的不良反应症状。
Objective To investigate the clinical efficacy of laparoscopic surgery combined with ultra-low dose mifepristone in the treatment of endometriosis. Methods Totally 92 patients with endometriosis admitted to our hospital from 2010 to 2011 were randomly divided into control group and study group, 30 cases in each group. The control group underwent laparoscopic surgery. On the basis of this study, the study group was given oral 6.25 mg / day mifepristone tablets for 6 months and once daily. Results 92 cases of EM patients underwent laparoscopic surgery, including unilateral excision of the seven cases, tubal ostomy in 22 cases, ovarian endometriosis cyst excision in 63 cases, bleeding 8 ~ 65 ml, operation time 40 ~ 135 min, postoperative hospital stay 3 ~ 4 d. The study group of patients with effective, pregnancy was significantly higher than the control group; study group, the recurrence rate was significantly lower than the control group, the difference was statistically significant (χ2 = 9.90, P <0.01). Conclusion Laparoscopic surgery combined with ultra-low dose of mifepristone treatment of endometriosis clinical efficacy is better, safe and reliable, low recurrence rate, can effectively alleviate the symptoms of adverse reactions in patients.