腹腔镜手术联合孕三烯酮治疗子宫内膜异位症的疗效观察

Clinical observation of laparoscopic surgery combined with gestrinone in treatment of endometriosis

目的探究腹腔镜手术联合孕三烯酮治疗子宫内膜异位症的疗效。方法选择2014年2月至2015年4月就诊于商丘市第一人民医院妇科的子宫内膜异位症患者94例,根据治疗方式不同将其分为两组,各47例。对照组实施腹腔镜手术治疗,观察组实施腹腔镜手术联合孕三烯酮治疗。对比两组疗效、术后复发情况、妊娠率以及月经和排卵恢复时间。结果对照组治疗有效率明显低于观察组,差异有统计学意义(P<0.05);对照组月经及排卵恢复时间均高于观察组,差异有统计学意义(P<0.05);对照组复发率高于观察组,妊娠率低于观察组,差异有统计学意义(P<0.05)。结论对子宫内膜异位症患者实施腹腔镜手术联合孕三烯酮治疗,能提高疗效,缩短月经和排卵恢复时间,同时能提高妊娠率,降低复发率,值得推广。

Objective To explore the clinical efficacy of laparoscopic surgery combined with gestrinone in the treatment of endometriosis. Methods From February 2014 to April 2015, 94 patients with endometriosis of gynecology in Shangqiu First People ＇s Hospital were divided into two groups according to the different treatment. There were 47 patients in each group. The laparoscopic operation was performed in the control group and laparoscopic surgery combined with gestrinone in the observation group. The clinical efficacy, postoperative recurrence, pregnancy rate and recovery time of menstruation and ovulation were compared between the two groups. Results The effective rate of the control group was signifcantly lower than the observation group, the difference was statistically significant （P 〈0.05）; the control group menstruation and ovulation recovery time were higher than the observation group, the difference was statistically significant （P 〈0.05） The recurrence rate was higher in the observation group than that in the observation group. The difference was statistically signifcant （P 〈0.05）. Conclusion Laparoscopic surgery combined with gestrinone can improve the clinical curative effect, shorten the recovery time of menstruation and ovulation, improve the pregnancy rate and reduce the recurrence rate, so it is worth to be popularized in the endometriosis.