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目的观察腹腔镜手术联合孕三烯酮治疗卵巢子宫内膜异位症的临床疗效,探讨提高治疗卵巢子宫内膜异位症疗效的治疗方案。方法选择经腹腔镜手术治疗的卵巢子宫内膜异位症患者86例,按照自愿的原则,36例患者术后未辅助药物治疗,为对照组。50例患者术后给予孕三烯酮治疗,为观察组,比较两组患者术后6个月临床疗效,并观察不良反应情况。结果观察组临床疗效好于对照组,两组患者治疗满意病例和复发病例比较,差异均具有统计学意义(P<0.05),观察组不良反应轻微,均为一过性。结论腹腔镜手术治疗卵巢子宫内膜异位症后,应积极加行孕三烯酮治疗,可提高临床疗效。
Objective To observe the clinical efficacy of laparoscopic surgery combined with gestrinone in the treatment of ovarian endometriosis and to explore the therapeutic strategies to improve the efficacy of treatment of ovarian endometriosis. Methods Eighty-six patients with ovarian endometriosis who underwent laparoscopic surgery were selected. According to the principle of voluntariness, 36 patients were treated with no adjuvant therapy and served as the control group. Fifty patients were treated with gestrinone for the observation group. The clinical efficacy of the two groups were compared at 6 months after operation and the adverse reactions were observed. Results The clinical curative effect of the observation group was better than that of the control group. There was significant difference between the two groups in the treated and the relapsed cases (P <0.05). The adverse reactions in the observation group were mild and transient. Conclusion Laparoscopic surgery for ovarian endometriosis should be actively treated with gestrinone, which can improve clinical efficacy.