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目的探讨米非司酮联合腹腔镜手术治疗妇产科手术切口子宫内膜异位症的临床疗效。方法选取应城市蒲阳医院2014年2月—2016年3月收治的妇产科手术切口子宫内膜异位症患者60例,根据治疗方法不同分为观察组与对照组,各30例。两组患者予以腹腔镜手术治疗,观察组患者在此基础上予以米非司酮治疗,连续治疗3个月,随访6个月,比较两组患者临床疗效、复发率、月经与排卵恢复时间及抑郁评估量表(SDS)评分。结果观察组患者治疗总有效率高于对照组,月经与排卵恢复时间短于对照组,SDS评分低于对照组,复发率低于对照组(P<0.05)。结论米非司酮联合腹腔镜手术治疗妇产科手术切口子宫内膜异位症的临床疗效确切,可降低患者复发率,减轻患者痛苦。
Objective To investigate the clinical efficacy of mifepristone combined with laparoscopic surgery for obstetrics and gynecology surgical incision endometriosis. Methods Sixty patients with obstetrics and gynecology endometriosis who were treated in Beiyang Beiyang Hospital from February 2014 to March 2016 were selected and divided into observation group and control group according to different treatment methods. The two groups of patients were treated with laparoscopic surgery. The patients in the observation group were treated with mifepristone on this basis. The patients in the observation group were treated for 3 months and followed up for 6 months. The clinical efficacy, recurrence rate, menstruation and ovulation recovery time Depression Rating Scale (SDS) score. Results The total effective rate of observation group was higher than that of control group, menstruation and ovulation recovery time was shorter than control group, SDS score was lower than that of control group, recurrence rate was lower than that of control group (P <0.05). Conclusion Mifepristone combined with laparoscopic surgery for obstetrics and gynecology surgical incision endometriosis clinical curative effect can reduce the recurrence rate and reduce patient suffering.