子宫内膜异位症的保守性手术治疗的预后临床分析

Clinical Analysis of the Prognosis of Endometriosis Conservative Surgical Treatment

目的分析保守性手术治疗子宫内膜异位症的预后情况。方法方便选取该院2014年1月—2015年12月期间收治的106例子宫内膜异位症患者,按照不同的治疗方案随机分为实验组(53例,腹腔镜手术后辅助药物治疗)和对照组(53例,单纯采用腹腔镜手术治疗),对比分析2组患者治疗效果、不良反应以及复发率等情况。结果实验组患者治疗总有效率(92.5%)显著高于对照组(71.7%),对照组患者未发现明显不良反应,实验组患者3例体重增加(5.7%),2例患者谷丙转氨酶升高(3.8%),2例阴道流血(3.8%),但停药后均恢复正常。实验组患者复发率(3.8%)显著低于对照组(22.6%),2组患者治疗效果以及复发率等差异有统计学意义(P<0.05)。结论子宫内膜异位症患者采用腹腔镜手术后辅助药物治疗的效果良好,不良反应较少,且可有效降低减少复发,改善患者预后,值得在临床上广泛推广。

Objective This paper tries to analyze the prognosis of conservative surgery for endom etriosis.Methods 106 cases adm itted in this hospital from January 2014 to D ecem ber 2015 of intrauterine m em brane were convenient selected and according to the different treatm ent endom etriosis patients were random ly divided into the experim ental group(53 cases,laparoscopic surgery and auxiliary therapy)and the control group(53 cases,pure laparoscopic surgery treatm ent),therapeutic effect,adverse reaction and the recurrence rate of two groups were com pared.Results The total effective rate of experim ental group was 92.5%,significantly higher than that of control group of 71.7%,no obvious adverse reaction was found in the control group,3 patients in the experim ental group gained w eight(5.7%),2 cases of patients with elevated Alt levels(3.8%),2 cases of vaginal bleeding(3.8%),but were back to norm al after drug withdrawal.The relapse rate in the experim ental group was 3.8%,significantly lower than the control group of 22.6%,the treatm ent effect and recurrence in the two groups were significantly different(P<0.05).Conclusion The effect of patients with endom etriosis after laparoscopic surgery assisted by drug treatm ent is good,with less adverse reaction,which can effectively reduce the recurrence,improve the prognosis of patients,so it is worth popularization in clinic practice widely.