摘要
目的 探讨不同手术方式对子宫内膜异位症的治疗效果。方法 对 1 60例子宫内膜异位症患者 ,采用不同方式手术治疗并作血清CA12 5测定 ,观察子宫内膜异位症预后。结果 根治性手术、半根治性手术及保守性手术与术后更年期症状的出现有明显相关性 ;半根治性手术子宫内膜异位症复发率 1 9.3 0 %、保守性手术复发率 2 5 .71 %;术后继续药物治疗、用药时间长短及用药剂量对子宫内膜异位症复发亦有一定影响 ;术后 2 9例子宫内膜异位症复发者 ,CA12 5阳性有 2 1例 ,占 72 .4 1 %。结论 手术治疗子宫内膜异位症 ,尤其是中、重度内异症仍是当前行之有效的治疗方法 ,而手术方式及术后用药对病情复发有直接的影响 ;血清CA12
Objective To analyse the operative results of different surgical modalities in 160 cases with endometriosis. Methods 160 patients with endometriosis were treated by different modes of operation and recurrence of endometriosis monitored by serum CA 125 test.Results The appearance of postoperative climacteric symptoms were related to modes of operation i.e. radiclal, semi radical and conservative operation. With semi radical operation, the recurrence rate was 19.30%; With conservative operation, the recurrence rate was 25.71%. Continued postoperative drug therapy, its duration and dosage were related to recurrence of endometriosis. Of 29 patients recurrent endometriosis, CA 125 was positive in 21 patients, in (72.41%).Conclusion Operative treatment is effective for endometriosis, especially in moderate and severe cases. The operative modality and postoperative drug therapy have direct influence on prognosis of the disease and serum CA 125 test is one of the monitoring markers for recurrence of endometriosis. (Shanghai Med J, 2000,23∶163 165)
出处
《上海医学》
CAS
CSCD
北大核心
2000年第3期163-165,共3页
Shanghai Medical Journal
