摘要
目的探讨腹腔镜手术在子宫内膜异位症(EMT)合并慢性下腹痛和(或)不孕症的治疗中的临床应用价值。方法采用回顾性分析的方法,对于83例EMT合并慢性下腹痛和(或)不孕症的患者采用腹腔镜手术治疗,对其临床效果与妊娠率进行比较。结果采用腹腔镜手术方法治疗EMT相关慢性下腹痛有效,其疼痛缓解率达到72.29%。在有生育要求的70例患者中,使用促性腺激素释放激素(GnRHa)组的妊娠率高于其余两组(P<0.05),达62.9%。结论腹腔镜手术对于EMT合并慢性下腹痛和(或)不孕症的治疗效果有着充足临床证据,其中术后予以GnRHa治疗,对于提高妊娠率疗效显著。
Objective To evaluate the efficacy of laparoscopy in the treatment of endometriosis-related infertility and chronic hypogastralgia. Methods The infertility in different groups and the effect of laparoscope in 83 cases of en- dometdosis-related chronic hypogastralgia and infertility patients were retrospectively investigated. Results The lysis rate of EMT-related chronic hypogastralgia by laparoscopic surgery was 72.29%.In groups with GnRHa,the pregnancy rate was up to 62.9%,was much higher than the other groups （P〈0.05）. Conclusion Laparoscopy can treat EMT-relat- ed chronic hypogastralgia and the use of GnRHa after surgery improve the pregnancy rate greatly.
出处
《中国现代医生》
2013年第23期147-148,共2页
China Modern Doctor
