子宫内膜异位症保留生育功能的临床治疗

Reserving Fertility in Treatment of Endometriosis

目的:探讨子宫内膜异位症(EM)保留生育功能的合理治疗。方法:对30例EM患者采用保守性手术方法治疗,术后口服醋酸甲羟孕酮作巩固治疗。结果:术后随访2年,疼痛明显好转25例(83.3%),月经正常26例(86.6%),妊娠11例(36.6%);盆腔包块复发4例(13.3%)。结论:采用保留生育功能的保守性手术方法治疗EM,对不同病例应个别化处理,但病灶切除要尽量彻底;术后巩固治疗推荐口服醋酸甲羟孕酮。

Objective：To find out a rational therapy of reserving fertility in management of endometriosis （EM）. Methods： 30 cases of EM were administered mediroxyprogesterone acetate after conservative surgery. Results： All the patients were followed up ＇after surgery for two years. Significant relief of pelvic pain and normal menstruation were found in 83.3 % （25/30） and 86,6 % （26/30） of the patients respectively. The pregnancy rates were 36.6 % （11/30） and pelvic mass relapsed in 13.3 % （4/30） of the patients. Conclusion：The endometriosis conservative surgery must be, performed according to the individuality of the patients and the focus must be removed completely. Medroxyprogesterone acetate is recommended in the adjuvant treatment after surgery.