异位停配合腹腔镜治疗子宫内膜异位症104例临床分析

目的：探讨异位停配合腹腔镜手术治疗子宫内膜异位症及子宫内膜异位症合并不孕的疗效。方法：对215例子宫内膜异位症及合并不孕患者采用随机单盲的研究方法，随机分为治疗组（异位停配合腹腔镜手术）104例和对照组（单纯腹腔镜手术）109例。治疗组术后给予异位停中药汤剂口服，连续用2个疗程。对照组术后未进行其他药物干预。结果：用药2个疗程后两组临床疗效及治愈率比较（P〈0．05），差异有显著性；术后随访1年，两组半年内妊娠数比较（P〈0．05），差异有显著性；术后3个月内妊娠数、1年内妊娠数及总妊娠率比较（P〉0．05），差异无显著性。结论：腹腔镜术后配合异住停治疗子宫内膜异位症能显著提高临床疗效，能明显提高术后半年内妊娠率。

Observation of Yiweiting plus Abdominoscope for Treatment of 104 Cases of Endometriosis

Objective ：to investigate efficacy of Yiweiting plus abdominoscope operation in treating endometriosis and endometriosis complicated with infertilitas feminis. Methods：according to random, single-blind trial, 215 cases of endometriosis complicated with infertilitas feminis were randomly divided to treated group （104 cases）, and control group （109 cases）. The treated group orally took the Chinese medicinal decoction of Yiweiting after operation for two consecutive courses of treatment ; meanwhile the control group received no other intervention than the operation. Results： two groups showed significant differences for effectiveness, cure rate after two courses, as well as the count of pregnancies at the half year follow-up （ P 〈 0.05 ）. While there was little difference for three-month or one-year counts of pregnancies, or total pregnant rates （ P 〉 0.05 ）. Conclusion： Yiweiting plus abdominoscope operation has remarkable therapeutic effect on endometriosis and pregnant rate in half a year after operation.