摘要
目的分析西药联合腹腔镜手术治疗子宫内膜异位症的临床疗效。方法选取该院自2012年2月—2014年2月收治的80例子宫内膜异位症患者作为研究对象,按照随机对照法将其分为对照组与观察组两组,对照组仅给予腹腔镜手术治疗,观察组则给予腹腔镜手术联合米非司酮药物治疗,对比观察两组患者的临床治疗效果,统计术后不良反应发生率及两组患者的妊娠率。结果观察组显效17例,有效20例,总有效率为92.5%,明显高于对照组的62.5%,组间对比差异有统计学意义(P<0.05);观察组术后盆腔粘连1例,占2.5%,明显低于对照组的15.0%;且观察组术后无1例患者出现切口感染,随访调查结果提示,无一例复发,妊娠率为80.0%,明显高于对照组的52.5%(P<0.05)。结论在子宫内膜异位症患者的临床治疗中,采用腹腔镜手术联合米非司酮药物治疗方案,可优化手术治疗效果,降低疾病复发率,减轻术后不良反应,提高患者的妊娠率,值得推广。
Objective To observe the clinical effect of Western medicine combined with laparoscopic operation in treatment of endometriosis. Methods 80 cases of endometriosis patients treated in our hospital from February 2012 to February 2014 as the re-search object, according to the random and control method were divided into the control group and observation group, control group only received laparoscopic operation treatment, the observation group were treated with laparoscopic operation combined Mifepristone, compare the therapeutic effect of two groups patients, recorded incidence of adverse reactions and pregnancy rate of two groups patients during postoperative. Results 17 cases were markedly effective, effective in 20 cases, the total effective rate was 92.5%, significantly higher than the control group 62.5%, the comparison between two groups had obvious difference （P 〈0.05）; observation group postoperative pelvic adhesion in 1 cases, accounting for 2.5%, significantly lower than the control group 15%;and observe 1 patients had incision infection group after surgery, follow-up survey results suggest, no recurrence occurred in 1 cases, the pregnancy rate was 80%, significantly higher than 52.5%in the control group （P〈0.05）. Conclusion In clinical treat-ment in patients with endometriosis, laparoscopic operation combine with mifepristone can optimize the operation treatment effect, reduce the relapse rate, reduce adverse reaction after operation, improve the pregnancy rate of patients, is worthy of promotion.
出处
《中外医疗》
2015年第6期24-25,共2页
China & Foreign Medical Treatment
