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153例子宫内膜异位症腹腔镜手术后的患者随机分为3组:米非司酮组45例,孕三烯酮组58例,对照组50例。比较3组患者术后疗效、术后复发、妊娠及用药副反应等情况。结果:米非司酮组和孕三烯酮组的术后有效率、术后复发率无统计学意义(P>0.05),对照组术后有效率显著低于其他两组(P<0.01),复发率显著高于其他两组(P<0.01),3组术后妊娠率无统计学差异。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: 153 cases with endometriosis after laparoscopic operation were divided into 3 groups: mifepristone group was 45 cases,gestrinone group was 58 cases and control group was 50 cases.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...