摘要
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。
To explore the effects of combination of laparoscow and medicine in the treatment of endometrk）sis. 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, re-lapse rate, pregnarcy rate and side effect were compared among these three groups. Results： There was no obvious differenoe between mifepristone and gestrinone group in efficacy and relapse rate （ P 〉 0. 05）. The efficacy in control group was obvious worse than that in the other two groups（ P 〈 0. 01） ; lhe relapse rate in control group was higher than that in the other two groups（ P〈 0.0]） ; The pregnancy rate in infertility patients was no obviously statistical difference after operation in these 3 groups. Conclusiona： The relapse rate is lower in combination of laparccpy and medicine group than simple operation group in the treatment of endometriosis. There is no cbvious increasing of pregnancy rate after operation when treated with medicine.
出处
《实用妇产科杂志》
CAS
CSCD
北大核心
2008年第10期616-618,共3页
Journal of Practical Obstetrics and Gynecology
