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目的:探讨腹腔镜术后米非司酮联合桂枝茯苓治疗子宫内膜异位症的疗效。方法:选择2009～2011年郑州大学第五附属医院子宫内膜异位症患者156例,腹腔镜术后将患者随机分为两组,每组78例,观察组给予米非司酮+桂枝茯苓,对照组只给予米非司酮,观察两组在复发、受孕及有效率方面的差异。结果:观察组11例复发,对照组27例复发。观察组受孕率、有效率均高于对照组(P<0.05);无效率两组比较差异无统计学意义。结论:对于子宫内膜异位症患者,腹腔镜术后使用米非司酮联合桂枝茯苓可降低患者复发率,提高受孕率,值得临床推广。
Objective: To investigate the efficacy of laparoscopic mifepristone combined with Guizhi Tuckahoe in the treatment of endometriosis. Methods: 156 cases of endometriosis in the Fifth Affiliated Hospital of Zhengzhou University from 2009 to 2011 were selected. After laparoscopic surgery, the patients were randomly divided into two groups, 78 cases in each group. The observation group was given mifepristone + Poria, the control group only given mifepristone, observed in the two groups in the recurrence, pregnancy and the efficiency of the differences. Results: The observation group of 11 patients relapsed, the control group of 27 patients relapsed. The conception rate and effective rate in the observation group were higher than those in the control group (P <0.05). There was no significant difference in the inefficiency between the two groups. Conclusion: For patients with endometriosis, the use of mifepristone combined with Guizhi Fuling after laparoscopic surgery can reduce the recurrence rate and improve the pregnancy rate, which deserves clinical promotion.