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目的:探讨腹腔镜下保守性手术联合诺雷得治疗该类疾病的治疗效果。方法:将120例重度卵巢内异症患者按时间顺序分配为组1、组2和组3,每组各40例。三组患者均实施腹腔镜保守性手术治疗,而组1未使用任何药物联合治疗,组2使用孕三烯酮联合治疗,组3使用诺雷得联合治疗,治疗后分析三组的治疗效果。结果:组2和组3的治愈率与组1相比,后者明显降低;组3患者的临床治愈率与组2相比更高。组2和组3的复发率均低于组1患者(P<0.05);而组2和组3之间复发率组间差异无统计学意义(P>0.05)。组2和组3的成功妊娠率均明显高于组1(P<0.05);且组3的成功妊娠率高于组2(P<0.05)。结论:采用腹腔镜下手术联合诺雷德治疗重度卵巢型内异症近远期疾病的临床治疗效果好,有利于降低患者病情复发率,治疗后有效缓解患者卵巢病情程度,促进不孕症患者妊娠功能的恢复,值得临床上推广研究与应用。
Objective: To investigate the effect of laparoscopic conservative surgery combined with Nuodede treatment of such diseases. Methods: One hundred and twenty patients with severe ovarian endometriosis were assigned chronologically to group 1, group 2 and group 3, with 40 patients in each group. Three groups of patients were treated with laparoscopic conservative surgery, while the group 1 did not use any combination therapy, group 2 with gestrinone treatment, group 3 with Norite combined treatment, after treatment, analysis of the treatment effect of the three groups. Results: The cure rates of Groups 2 and 3 were significantly lower than those of Group 1, and those of Group 3 were higher than those of Group 2. The recurrence rates of group 2 and group 3 were lower than those of group 1 (P <0.05), while there was no significant difference between group 2 and group 3 (P> 0.05). The success rate of pregnancy in group 2 and group 3 was significantly higher than that in group 1 (P <0.05). The success rate of pregnancy in group 3 was higher than that in group 2 (P <0.05). Conclusion: Laparoscopic surgery combined with Nuodeide treatment of severe ovarian endometriosis short-term and long-term clinical treatment is effective, reduce the patient’s relapse rate, effective treatment to alleviate the degree of ovarian disease, and promote infertility patients Pregnancy recovery, it is worth to promote clinical research and application.