论文部分内容阅读
目的探讨腹腔镜手术治疗卵巢子宫内膜异位囊肿,术后分别辅以米非司酮和孕三烯酮预防复发的疗效。方法对2011年6月—2013年12月在南阳市油田总医院确诊为卵巢子宫内膜异位囊肿,并行腹腔镜剥除术的患者,术后随机分成两组,A组为口服米非司酮组40例,B组为口服孕三烯酮组40例,术后均连服药6个月,所有患者随访9~12个月。结果 A组和B组的治疗效果及复发率无明显差异(P>0.05),两组都有着非常肯定的疗效,但A组较B组副反应发生率明显低,有非常显著性差异(P<0.01)。结论卵巢子宫内膜异位囊肿腹腔镜术后配合米非司酮或孕三烯酮,对缓解临床症状及预防复发都有着肯定的疗效,但米非司酮组较孕三烯酮组更为经济、副反应更少、病人依从性更好。
Objective To investigate the effect of laparoscopic surgery on ovarian endometriosis cysts after mifepristone and gestrinone in preventing recurrence. Methods From June 2011 to December 2013, patients diagnosed as ovarian endometriosis cyst by laparoscopy in Nanyang Oilfield General Hospital were randomly divided into two groups. Group A was oral mifepristone 40 cases of ketone group, B group of 40 cases of oral gestrinone group, even after taking medication for 6 months, all patients were followed up for 9 to 12 months. Results There was no significant difference between group A and group B (P> 0.05), but there was a very positive effect in both groups. However, the incidence of side effects in group A was significantly lower than that in group B (P <0.01). Conclusion Ovarian endometriosis after laparoscopic laparoscopic combined with mifepristone or gestrinone, to alleviate the clinical symptoms and prevention of recurrence have a certain effect, but the mifepristone group compared with gestrinone Economical, less side effects, better patient compliance.