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目的探讨腹腔镜手术联合孕三烯酮治疗卵巢巧克力囊肿的疗效。方法 2010年11月至2012年6月我院将53例腹腔镜下卵巢巧克力囊肿术后的患者随机分为两组:手术后联合孕三烯酮药物治疗组27例,术后口服孕三烯酮3-6月,同时行肌苷片口服护肝治疗;单纯腹腔镜手术组26例,所有患者术后随访9~24月。结果联合治疗组有效率77.8%,单纯手术组有效率46.2%,联合治疗组的疗效优于单纯手术组,差异有统计学意义(P<0.05)。结论腹腔镜术后联合孕三烯酮治疗卵巢巧克力囊肿优于单纯手术治疗,可作为卵巢巧克力囊肿临床治疗选择方案。
Objective To investigate the efficacy of laparoscopic surgery combined with gestrinone in the treatment of ovarian chocolate cysts. Methods From November 2010 to June 2012, 53 patients with laparoscopic ovarian chocolate cyst were randomly divided into two groups: 27 cases were treated with gestrinone after operation, Ketones 3-6 months, at the same time inosine tablets liver treatment; simple laparoscopic surgery group of 26 patients, all patients were followed up for 9 to 24 months. Results The effective rate was 77.8% in the combined treatment group and 46.2% in the simple operation group. The curative effect of the combined treatment group was better than that of the simple operation group (P <0.05). Conclusion Laparoscopic combined gestrinone treatment of ovarian chocolate cysts is better than surgery alone, which can be used as a clinical treatment option for ovarian chocolate cysts.