探讨腹腔镜手术分别联合GnRH―a与孕三烯酮治疗子宫内膜异位症效果.docVIP

探讨腹腔镜手术分别联合GnRH―a与孕三烯酮治疗子宫内膜异位症效果 　　[摘要] 目的 对比GnRH-a联合腹腔镜与孕三烯酮联合腹腔镜手术治疗子宫内膜异位症的临床疗效。方法 方便选取2014年1月―2015年12月该院妇科住院收治的子宫内膜异位症患者80例作为观察对象。采用随机数表法将其分为A组与B组，A组40例患者采用腹腔镜联合GnRH-a治疗，B组40例采用腹腔镜联合孕三烯酮治疗，比较两组患者手术治疗效果及术后并发症、复发情况。结果 A组患者术后治疗总有效率为97.50%，明显高于B组患者的72.50%，差异有统计学意义（χ2=4.594，P0.05）；两组患者术后痛经、月经不调、性交痛等临床症状明显改善，但随访调查结果显示A组患者子宫内膜异位症复发率（2.50%）明显低于B组（20.00%），差异有统计学意义（χ2=3.410，P0.05）。结论 采用腹腔镜手术联合GnRH-a治疗子宫内膜异位症疗效较腹腔镜联合孕三烯酮更为理想，且患者术后子宫内膜异位症复发率更低，具有临床应用及推广价值。 　　[关键词] 腹腔镜手术；GnRH-a；孕三烯酮；子宫内膜异位症；临床疗效 　　[中图分类号] R711 [文献标识码] A [文章编号] 1674-0742（2017）05（a）-0097-03 　　[Abstract] Objective To compare the clinical efficacy of GnRH-a combined with laparoscopic and pregnant three ketene combined with laparoscopic surgery for endometriosis. Methods Convenient selection from January 2014 to December 2015 screening of Gynecology of our hospital from patients with endometriosis in 80 cases as the observation object. Randomly divided into A group and B group， A group 40 cases were treated by laparoscopy combined with GnRH-a treatment， B group of 40 cases were treated with laparoscopy combined with pregnant three ketene treatment， compared the therapeutic effect of two groups patients treated with surgery and postoperative complications， recurrence. Results In group A patients postoperative treatment the total effective rate was 97.50%， significantly higher than that of group B 72.50% of the patients， the difference is statistically significant（χ2=4.594，P 0.05）； Two groups of patients with postoperative dysmenorrhea， menstruation to be not moved， pain during sex， such as clinical symptoms improved significantly， but the follow-up survey showed A group of patients with endometriosis recurrence rate （2.50%） was lower than that in group B （20.00%）， the difference is statistically significant（χ2=3.410，P0.05）. Conclusion Laparoscopic surgery combined with GnRH-a in the treatment of endometriosis with laparoscopy combined effect of pregnant three ketene is more ideal， and patients with postoper