腹腔镜联合孕三烯酮治疗子宫内膜异位症

Therapy for Endometriosis with Laparoscopic Operation plus Progestin

目的 探讨腹腔镜联合孕三烯酮治疗子宫内膜异位症的临床价值。方法 86例子宫内膜异位症患者在腹腔镜下行手术治疗后，加用孕三烯酮2．5m吕／次，每周2次，治疗3—6月。结果 86例均在腹腔镜下成功完成手术，随访12—24个月，症状控制率100％，复发4例复发率4．7％（4／86）；36例合并不孕症者术后联合孕三烯酮治疗，妊娠22例，妊娠率61．1％（22／36）。结论 腹腔镜手术应用于各期子宫内膜异位症，联合孕三烯酮治疗，复发率、低受孕率高，可获满意治疗效果。

Objective To discuss the clinical value of laparoscopic operation plus progestin for the therapy of endometriosis. Methods A total of 86 patients with endometriosis were performed laparoscopic operation, and then some of them were administered progestin （2.5mg） twice per week for 3 - 6 months. Results Laparoscopic operation was finished successfully in all the patients. Accon：ling to the follow-up （ 12 -24 months）, the symptom-controlling rate was up to 100% and there were four patients （4.7%, 4/ 86 ） whose symptoms relapsed. Out of the whole patients, 36 ones were given oral progestin and 22 of them （61.1% ） succeeded in pregnancy. Conclusion As a satisfactory therapeutic way, laparoscopic operation plus progestin is effective on endometriosis with low relapse rate and high pregnant rate.