探讨保守性手术治疗子宫内膜异位症盆腔痛的临床效果观察.docxVIP

探讨保守性手术治疗子宫内膜异位症盆腔痛的临床效果观察 黑龙江省嫩江县山河农场医院161421 摘要：目的研究分析保守性手术治疗子宫内膜异位症盆腔痛的疗效及复发影响 因素。方法研究分析2010年6月一2014年12月在该院拟行保守手术治疗的子 宫内膜异位症患者132例，将其临床资料进行回顾性分析，并根据随访期间是否 复发分为复发组和无复发组，对两组患者的临床资料进行单因素分析，同时进行 多因素回归分析。结果复发组病变在双侧、有子宫内膜异位症手术史、R-AFS 分期在IV期、术前CA125水平ge;35 U/L.术后克罗米酚治疗的比例明显高于无 复发组(Plt;0.05),复发组术后GnRH-a治疗的比例明显低于无复发组(Plt;0.05)； Logistic多因素分析显示，病变部位、子宫内膜异位症手术史、R-AFS分期、术后 克罗米酚治疗、术后GnRH-a治疗是子宫内膜异位症的影响因素。结论病灶部位、 既往子宫内膜异位症的手术史、R-AFS分期、术后克罗米酚治疗、术后GnRH-a 治疗均可影响子宫内膜异位症患者术后复发。 关键词：保守性手术；子宫内膜异位症；影响因素 [Abstract] Objective To study the curative effect of conservative surgery in the treatment of pelvic pain in patients with endometriosis and its influencing factors. June 2010 ? 2014 12 mon ths in the hospital intends for con servative surgery in the treatment of endometriosis patients with 132 cases, their clinical data were retrospective analysis, and according to whether the follow-up recurrence was classified for the recurrenee group and non recurrenee group? The clinical data of two groups of patients were single factor analysis, and multivariate regression analysis method of analysis. Results in the recurrent group, the lesions in the bilateral, endometriosis surgery, R-AFS staging in stage IV，preoperative CA125 level greater than or equal to 35 U / L, postoperative clomiphene ratio was significantly higher than that of non recurrence group (P lt; 0.05) and recurrence after operation in group proportion of GnRH-a treatment significantly lower than non recurrent group (P lt; 0.05) ? Multivariate logistic regression analysis showed that the lesion, endometriosis surgery, R-AFS staging and postoperative clomiphene citrate (CC) phe nol treatment, postoperative Gn RH-a treatment is in flue ncing factors of endometriosis. Conclusion lesions, previous endometrial endometriosis surgery, R-AFS stagi ng and postoperative clomiphene citrate (CC) phe no I treatme nt, postoperative GnRH-a treatment can affect the uterine endometrium of endometriosis patients after recurrenee. Con servative