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目的探究不同药物方案对子宫内膜异位症腹腔镜手术后患者的治疗效果。方法 150例子宫内膜异位症腹腔手术后患者,随机分为A组、B组和C组,各50例。A组给予米非司酮治疗,B组给予孕三烯酮治疗,C组不使用任何药物治疗。对三组患者用药后的治疗效果进行对比分析。结果 A组与B组患者术后总有效率与复发率比较差异无统计学意义(P>0.05);C组患者复发率(40%)高于A组(6%)和B组(8%),总有效率(40%)低于A组(94%)和B组(92%),差异有统计学意义((P<0.05)。结论子宫内膜异位症腹腔镜手术后患者分别采用米非司酮与孕三烯酮进行治疗,可使患者的临床症状充分改善,复发率显著下降,且米非司酮的治疗效果明显优于孕三烯酮,可行性与安全性较好,在临床上值得进一步推广与运用。
Objective To investigate the therapeutic effect of different drug regimens on patients after endoscopic surgery for endometriosis. Methods 150 cases of endometriosis patients after abdominal surgery were randomly divided into A group, B group and C group, 50 cases each. Group A received mifepristone treatment, group B received gestrinone treatment, group C did not use any drug treatment. Three groups of patients after treatment compared the efficacy of the treatment. Results The total effective rate and recurrence rate in group A and group B were not significantly different (P> 0.05). The recurrence rate (40%) in group C was significantly higher than that in group A (6%) and group B (8% ), And the total effective rate (40%) was lower than that in group A (94%) and group B (92%) (P <0.05) .Conclusions The patients after endoscopic surgery for endometriosis The use of mifepristone and gestrinone treatment, the patient’s clinical symptoms can be fully improved, the recurrence rate decreased significantly, and mifepristone treatment was significantly better than gestrinone, feasibility and safety better , It is worth further promotion and application in clinic.