腹腔镜联合药物治疗830例子宫内膜异位症的临床分析

Clinical Analysis of 830 Cases Endometriosis Treated by Laparoscopy Combined with Medicine

目的:分析腹腔镜手术联合药物治疗子宫内膜异位症的疗效。方法:回顾性分析2002年至2005年四川大学华西第二医院收治的830例子宫内膜异位症患者腹腔镜手术治疗后的随访资料。比较手术后加用丹那唑、孕三烯酮(内美通)、诺雷得以及中药治疗3个月后的轻、重度子宫内膜异位症的复发率、合并不孕患者的受孕率。结果:术后两年,各药物组在各类中受孕率及在轻度中复发率无明显差异,在重度中,中药组复发率显著高于其他各药物组。结论:子宫内膜异位症腹腔镜手术后联合用药可降低复发率,提高受孕率。中药组的复发率在重度子宫内膜异位症中要高于其他组。各药物组在受孕率上无显著差异。

Objective： To analysis the clinical effect of laparoscopy combined with postoperative medicine treatment to endometriosis.Method： Eight hundred and thirty cases endometriosis from 2002-2005 of our hospital were analysised.The recurrence rate and pregnancy rate were compared with different drug postoperative therapy to moderate and serious EMS.Results： Two years after laparoscopy,no significant difference was show in pregnancy rate of both type EMS and recurrence rate of moderate EMS;in serious EMS,the recurrence rate of Chinese traditional medicine is higher than the other groups.Conclusion： As for endometriosis,laparoscopy combined with postoperative medicine treatment can decrease the recurrence rate and increase the pregnancy rate.In serious EMS the recurrence rate of Chinese Traditional medicine group is higher than the other groups.There is no statistical difference in pregnancy rate among each group.