子宫内膜异位症236例临床诊治分析

Clinical diagnosis and treatment of the 236 patients with endometriosis

目的探讨子宫内膜异位症的诊治方法以提高诊治水平。方法回顾性分析236例子宫内膜异位症患者的临床资料。所有患者均采用手术治疗，术后服用米非司酮。结果236例患者中，69例行保留生育功能手术，治愈率为60．9％（42／69）；146例行保留卵巢功能手术，治愈率为58．9％（86／146）；21例行根治性手术，术后12例出现更年期综合征症状。结论手术配合米非司酮治疗子宫内膜异位症可取得较好的疗效。

Objective To discuss the diagnosis and treatment methods of endometriosis, so as to improve the diagnosis and treatment level. Method The clinical data of 236 patients with endometriosis was analyzed retrospectively, all the patients were treated with surgery and mifepristone. Result Of the 236 patients, 69 to retain reproductive function routine surgery, the cure rate was 60.9%（42/69）; 146 to retain ovarian function routine surgery, the cure rate was 58.9% （86/146）; 21 to undergo radical surgery, 12 patients with menopause symptoms. Conclusion Surgical treatment with mifepristone in endometriosis can get better results.