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目的探讨子宫内膜异位症患者应用腹腔镜手术联合米非司酮治疗的临床效果。方法选取2010年9月—2013年11月收治的子宫内膜异位症患者92例,根据治疗方式的不同随机分为观察组(50例)和对照组(42例),对照组应用腹腔镜手术治疗,观察组应用腹腔镜手术联合米非司酮治疗,比较两组的临床疗效及复发率。结果观察组患者总有效率为98.0%,对照组为90.0%。两组间有效率比较,差异有统计学意义(P<0.05)。观察组患者复发率低于对照组,妊娠率高于对照组,差异有统计学意义(P<0.05);不良反应两组间差异无统计学意义(P>0.05)。结论腹腔镜联合米非司酮治疗子宫内膜异位症临床效果显著,可提高受孕率,降低复发率,且不良反应少,值得临床推广应用。
Objective To investigate the clinical effect of laparoscopic surgery combined with mifepristone in patients with endometriosis. Methods 92 patients with endometriosis admitted from September 2010 to November 2013 were randomly divided into the observation group (50 cases) and the control group (42 cases) according to the different treatment methods. The control group was treated with laparoscopy Surgical treatment, the observation group laparoscopic surgery combined with mifepristone treatment, the clinical efficacy and recurrence rate of the two groups were compared. Results The total effective rate was 98.0% in the observation group and 90.0% in the control group. Efficacy between the two groups, the difference was statistically significant (P <0.05). The recurrence rate of observation group was lower than that of control group, pregnancy rate was higher than that of control group, the difference was statistically significant (P <0.05). There was no significant difference between the two groups (P> 0.05). Conclusion Laparoscopy combined with mifepristone treatment of endometriosis significant clinical effect, can improve the pregnancy rate and reduce the recurrence rate, and fewer adverse reactions, it is worth promoting the clinical application.