摘要
目的探讨腹腔镜术联合醋酸曲普瑞林治疗子宫内膜异位症(EMT)的临床效果。方法选取2015年10月~2017年12月我院收治的90例EMT患者作为研究对象,用电脑随机分为两组,每组各45例。观察组实施腹腔镜术与醋酸曲普瑞林治疗;对照组采取腹腔镜术与孕三烯酮治疗,对两组临床指标、不良反应发生率和复发情况进行观察。结果观察组排卵恢复时间(15.22±1.02)d,月经恢复时间(26.52±1.02)d,显著短于对照组排卵恢复时间(23.59±1.65)d,月经恢复时间(39.38±1.65)d,差异均有统计学意义(P<0.05)。观察组不良反应总发生率低于对照组(P<0.05);观察组复发率低于对照组,差异均有统计学意义(P<0.05)。结论腹腔镜术与醋酸曲普瑞林治疗EMT具有显著效果,同时能有效改善患者各项指标,安全性较高,值得推广。
Objective To explore the clinical effect of laparoscopy combined with Triptorelin Acetate in the treatment of endometriosis（EMT）. Methods A total of 90 patients with EMT treated in our hospital from October 2015 to December 2017 were selected as study subjects and randomly divided into two groups, 45 cases in each group. In the observation group, laparoscopic surgery combined with Triptorelin Acetate was adopted, while in the control group, laparoscopic surgery with Gestrinone was used. The clinical indicators, incidence of adverse reactions, and recurrence rate were compared in the two groups. Results The recovery time of ovulation and menstruation in the observation group were（15.22±1.02） d and（26.52±1.02） d, significantly shorter than those of the control group,（23.59±1.65） d and（39.38±1.65） d respectively（P〈0.05）. The total incidence of adverse reactions in the observation group was lower than that in the control group（P〈0.05）. The recurrence rate of patients with EMT in the observation group was lower than that in the control group, the differences were statistically significant（P〈0.05）. Conclusion Laparoscopy combined with Triptorelin Acetate obtains a significant effect on the treatment of EMT, and can effectively improve the patient′ s various indicators in high safety simultaneously, which is worthy of study.
作者
杨小梅
卫凤英
杨玮林
陈少芬
YANG Xiao-mei;WEI Feng-ying;YANG Wei-lin;CHEN Shao-fen(Department of Gynecology,Shunde Maternity and Child Health Care Hospital of Foshan City,Guangdong Province,Foshan 528300,China)
出处
《中国当代医药》
2018年第25期118-120,共3页
China Modern Medicine
