电化学联合米非司酮治疗子宫内膜异位症疗效观察

Clinical Observation of Endometriosis Electrochemical Therapy Associated with Mifepristone

目的：观察电化学联合米非司酮治疗子宫内膜异位症的疗效。方法：164例确诊的子宫内膜异位症患者，随机分为4组：电针组，电针药组，手术组和手术药组。电针组采用电化学疗法治疗，电针药组采用电化学疗法并服用米非司酮，手术组采用切除内异病灶的方法治疗，手术药组采用切除内异病灶的方法并服用米非司酮。治疗后随访6～4个月，观察治疗前后临床症状、体征变化，检测血清CA125含量。结果：各组患者治疗后症状均有所改善，血清CAl25含量明显降低，与治疗前相比差异具有显著性意义（_P〈0．01）。电针药组总有效率为95．12％，明显高于其他各组的总有效率（P〈0．01），且复发率低于其余各组的复发率。结论：电化学联合米非司酮治疗子宫内膜异位症疗效较好。

Objective： To observe the curative effect of endometriosis by electrochemical therapy associated with mifepristone. Method.. To divide randomly 164 endometriosis patients into 4groups： EA group, EA plus medication group,operation group and operation plus medication group. EA group was treated with electroacupuncture; EA plus medication group was treated with electroacupuncture associated with mifepristone; operation group was resected the focus and operation plus medication group was resected the focus and oral mifepristone. All the patients were followed up for 6-14 monthes after treatment,observe the clinical symptoms,sign changes,measured the content of CA125 in serum. Results. The symptoms of the patients were improved after treatment. The content of CA125 in serum was decaesd , there was significant difference between before and after the treatment,P〈0. 01. EA group＇s the tatal effective rate was 95. 12%, was obviously higher than that in other groups,P〈0. 01 ,and recurrence rate was lower than in other groups. Conclusion The electrochemical therapy associated with mifepristone was curative effective in endometriosis.