腹腔镜联合药物治疗子宫内膜异位症的疗效观察

目的研究子宫内膜异位症腹腔镜手术后联合药物治疗的效果。方法将65例子宫内膜异位症腹腔镜手术后的患者随机分为三组:米非司酮组20例,孕三烯酮组25例,对照组20例。比较3组患者术后疗效、术后复发、妊娠及用药副作用等情况。结果米非司酮组和孕三烯酮组术后有效率、术后复发率差异无统计学意义(P>0.05),对照组术后有效率显著低于其他2组(P<0.01),复发率显著高于其他2组(P<0.01),3组术后妊娠率差异无统计学意义。结论腹腔镜术后联合药物治疗子宫内膜异位症较单纯手术治疗复发率低、治疗效果可靠,但术后药物治疗未能显著提高妊娠率。

Effects of Combination of Laparoscopy and Medicine in the Treatment of Endometriosis

Objective To explore the effects of combination of laparoscopy and Medicine in the treatment of endometriosis.Methods 65 cases with endometriosis after laparoscopic operation were divided into three groups:mifepristone group(n=20),gestrinone group(n=25) and control group(n=20).The efficacy,relapse rate,pregnancy rate and side effect were compared among these three groups.Results There was no obvious difference between mifepristone and gestrinone group in efficacy and relapse rate(P>0.05).The efficacy in con...