子宫内膜异位症保守性手术治疗预后临床分析.docVIP

子宫内膜异位症保守性手术治疗预后临床分析 　　[摘要] 目的 分析保守性手术治疗子宫内膜异位症的预后情况。方法 方便选取该院2014 年1月―2015 年12月期间收治的106例子宫内膜异位症患者，按照不同的治疗方案随机分为实验组（53例，腹腔镜手术后辅助药物治疗）和对照组（53例，单纯采用腹腔镜手术治疗），对比分析2组患者治疗效果、不良反应以及复发率等情况。结果 实验组患者治疗总有效率（92.5%）显著高于对照组（71.7%），对照组患者未发现明显不良反应，实验组患者3例体重增加（5.7%），2例患者谷丙转氨酶升高（3.8%），2例阴道流血（3.8%），但停药后均恢复正常。实验组患者复发率（3.8%）显著低于对照组（22.6%），2组患者治疗效果以及复发率等差异有统计学意义（P0.05）。结论 子宫内膜异位症患者采用腹腔镜手术后辅助药物治疗的效果良好，不良反应较少，且可有效降低减少复发，改善患者预后，值得在临床上广泛推广。 　　[关键词] 子宫内膜异位症；腹腔镜手术；药物保守治疗；预后 　　[中图分类号] R71 [文献标识码] A [文章编号] 1674-0742（2017）10（c）-0101-03 　　Clinical Analysis of the Prognosis of Endometriosis Conservative Surgical Treatment 　　ZHU Xiao-hong 　　Department of Gynecology and Obstetrics， Wujin People’s Hospital， Changzhou， Jiangsu Province， 213002 China 　　[Abstract] Objective This paper tries to analyze the prognosis of conservative surgery for endometriosis. Methods 106 cases admitted in this hospital from January 2014 to December 2015 of intrauterine membrane were convenient selected and according to the different treatment endometriosis patients were randomly divided into the experimental group （53 cases， laparoscopic surgery and auxiliary therapy） and the control group （53 cases， pure laparoscopic surgery treatment）， therapeutic effect， adverse reaction and the recurrence rate of two groups were compared. Results The total effective rate of experimental group was 92.5%， significantly higher than that of control group of 71.7%， no obvious adverse reaction was found in the control group， 3 patients in the experimental group gained weight（5.7%）， 2 cases of patients with elevated Alt levels （3.8%）， 2 cases of vaginal bleeding（3.8%）， but were back to normal after drug withdrawal. The relapse rate in the experimental group was 3.8%， significantly lower than the control group of 22.6%， the treatment effect and recurrence in the two groups were significantly different（P0.05）. Conclusion The effect of patients with endometriosis after laparoscopic surgery assisted by drug treatment is good， with less ad