腹腔镜联合不同药物治疗卵巢型子宫内膜异位症的临床疗效观察.docVIP

精品论文 参考文献 腹腔镜联合不同药物治疗卵巢型子宫内膜异位症的临床疗效观察 黑龙江省嫩江县山河农场医院 161421 摘要：目的：研究分析腹腔镜联合不同药物治疗卵巢型子宫内膜异位症的临床效果观察。方法：此次研究的对象是选取2014年1月-2015年1月84例在笔者所在医院进行诊治的卵巢型子宫内膜异位症患者，将其临床资料进行回顾性分析，并按照随机数字表法分为治疗组与对照组，治疗组使用腹腔镜联合孕三烯酮进行治疗，对照组使用腹腔镜联合诺雷德进行治疗，观察两组患者的治疗有效率、并发症发生率、术后复发率及2年后的妊娠率。结果：治疗组治疗有效率为92.9%，对照组为90.5%，两组比较差异无统计学意义（Pgt;0.05）；治疗组2年后妊娠率为76.2%，对照组2年后妊娠率为71.4%，两组比较差异无统计学意义（Pgt;0.05）；治疗组并发症发生率以及复发率均显著高于对照组，差异均有统计学意义（Plt;0.05）。结论：腹腔镜手术对于子宫内膜异位症具有较好的临床应用价值，其中应用诺雷德联合腹腔镜的方式比较理想。 关键词：腹腔镜联合不同药物；卵巢型子宫内膜异位症；疗效 [Abstract] Objective：To study the clinical effect of laparoscopy combined with different drugs in the treatment of ovarian endometriosis.Methods：the object of the study is selected January 2014 - 2015 years 1 month in 84 cases of diagnosis and treatment of ovarian endometriosis patients in the hospital，their clinical data were retrospective analysis，and divided into treatment group and control group according to random number table method，the treatment group that was treated with laparoscopy combined with gestrinone，control group used laparoscopic combined with Zoladex treatment，observation of efficiency and complication rate，postoperative recurrence rate and 2 years after the pregnancy rate of treatment of two groups of patients.Results：treatment，the effective rate was 92.9%，90.5% in the control group，the difference between the two groups no significant（P gt; 0.05）；the treatment group 2 years after pregnancy rate was 76.2%，control group 2 years after pregnancy rate was 71.4%，the difference between the two groups no significant（P gt; 0.05）；treatment group complications occurrence rate and recurrence rate were significantly higher than those in the control group，the differences were statistically significant（P lt; 0.05）.Conclusion：laparoscopic surgery for endometriosis has better clinical application value，which given Zoladex combined with laparoscopy. [Key words] Laparoscopy Combined with different drugs；ovarian endometriosis；curative effect 子宫内膜异位症是妇科疾病中一种常见疾病，临床主要表现为盆腔疼痛、月经