摘要
目的:探讨子宫内膜异位症治疗的方法及疗效。方法:回顾性分析2004年1月—2009年1月在本院治疗的475例子宫内膜异位症患者的临床资料,其中445例行子宫内膜异位症保守手术治疗,并术前、术后辅助药物治疗;与拒绝手术治疗只接受药物治疗的30例患者对照,比较其疗效和预后。结果:445例患者中11例于联合治疗后1年内复发,复发率2.47%;44例于2年内复发,复发率9.89%。30例单纯药物治疗患者,治疗1年后18例复发,复发率60%;20例2年内复发,复发率66.67%。联合治疗与单纯药物治疗预后差异有统计学意义(P<0.05)。结论:保守手术联合药物治疗是子宫内膜异位症患者治疗的有效方法。
Objective ： To explore conservative methods for the treatment of endometriosis and to evaluate the effects of the treatment. Methods：Clinical pathological data of 475 patients with endometriosis from January 2004 to January 2009 were reviewed. 445 patients underwent routine conservative surgery and supplementary drug therapy was performed before and after surgery for them. The effects and the prognosis in these 445 patients were compared with those in the other 30 patients who refused surgery and only received drug therapy. Results： For the patients who received surgery combined with drug therapy, endometriosis relapsed in eleven within one year and in forty- four within two years, recurrence rate being 2.47% and 9.89% respectively, while for the patients who only received drug therapy, the number of the patients whose endometriosis was relapsed was eighteen within one year and twenty within two years, recurrence rate being 60% and 66.67% respectively. The prognosis for the patients who received combinational therapy was significantly different from that for the patients who only received drug therapy. （P 〈 0.05） Conclusion： Surgery combined with drug therapy is effective for the conservative treatment of endometriosis.
出处
《天津药学》
2010年第2期46-47,共2页
Tianjin Pharmacy
