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假孕作为子宫内膜异位症保守治疗的方法,自1958年已被Kistner描述,本文对35例确诊为子宫内膜异位症妇女(33例腹腔镜检查证实为盆腔内膜异位症,2例为腹部的病灶,其中1例是脐部结节,另1例是腹直肌鞘上病灶)。应用口服醋酸甲孕酮进行保守治疗。醋酸甲孕酮从周期第1天起,每天30毫克,连续90天。对手术患者术前6周开始用药,持续到手术后6周。手术切除主要病灶剩下的不能切除或显微镜下才能发现的子宫内膜异位,特别在输卵管和卵巢上不能作手术切除的部位可用醋酸甲孕酮治疗3个月。
As a method of conservative treatment of endometriosis, pseudopregnancy has been described by Kistner since 1958. In this paper, 35 women with endometriosis were diagnosed (33 cases of pelvic endometriosis confirmed by laparoscopy, 2 cases of abdominal lesions, including 1 case of umbilical nodules, and the other 1 case of rectus sheath lesions). Conservative use of oral administration of progesterone acetate. Medroxyprogesterone acetate from the first day of the cycle, 30 mg daily for 90 consecutive days. The patients underwent surgery beginning 6 weeks before surgery until 6 weeks after surgery. Surgical removal of the main lesions can not be the remaining resection or under the microscope can be found in endometriosis, especially in the fallopian tubes and ovaries can not be treated with surgical removal of medroxyprogesterone acetate for 3 months.