腹腔鏡聯合戈舍瑞林治療卵巢型子宮內膜異位癥的效果

廖紅　艾小燕　朱奕融

[摘要]目的 探討腹腔鏡聯合戈舍瑞林治療卵巢型子宮內膜異位癥的效果。方法 選取2015年1月～2016年1月我院收治的60例卵巢型子宮內膜異位癥患者作為研究對象，按照就診順序的不同分為觀察組（30例）與對照組（30例）。對照組采用腹腔鏡手術治療，術后給予孕三雌酮膠囊，觀察組在對照組基礎上聯合戈舍瑞林緩釋植入劑治療。比較兩組的臨床療效、相關癥狀評分、治療時間、隨訪情況。結果 觀察組的治療總有效率高于對照組，差異有統計學意義（P<0.05）。觀察組的痛經、月經不調、性交痛、周期性直腸刺激征、不孕評分均低于對照組，差異有統計學意義（P<0.05）。觀察組的月經、排卵恢復時間均短于對照組，差異有統計學意義（P<0.05）。觀察組的妊娠成功率高于對照組，差異有統計學意義（P<0.05）。觀察組的疾病復發率低于對照組，差異有統計學意義（P<0.05）。結論 采用腹腔鏡聯合戈舍瑞林治療卵巢型子宮內膜異位癥，可明顯縮短患者病癥改善時間，降低疾病復發率，提高患者妊娠成功率。

[關鍵詞]卵巢型子宮內膜異位癥;戈舍瑞林緩釋植入劑;腹腔鏡;疾病復發率;妊娠情況

[中圖分類號] R71 ? ? [文獻標識碼] A ? ? [文章編號] 1674-4721（2019）11（b）-0129-03

Effect of laparoscopy combined with Goserelin in the treatment of ovarian endometriosis

LIAO Hong? ?AI Xiao-yan? ?ZHU Yi-rong

Department of Gynecology， Jiangxi Maternal and Child Health Hospital， Nanchang? ?330006， China

[Abstract] Objective To investigate the effect of laparoscopy combined with Goserelin in the treatment of ovarian endometriosis. Methods Sixty patients with ovarian endometriosis admitted to our hospital from January 2015 to January 2016 were selected as the study subjects， and they were divided into observation group （30 cases） and control group （30 cases） according to the order of treatment. The control group was treated with laparoscopic surgery， and the Pregnant gynecological Capsules were given after operation. The observation group was treated with Goserelin Sustained-release Implants on the basis of the control group. The clinical efficacy， related symptom scores， treatment time， and follow-up were compared between the two groups. Results The total effective rate of treatment in the observation group was higher than that in the control group， and the difference was statistically significant （P<0.05）. The dysmenorrhea， irregular menstruation， sexual pain， periodic rectal irritation and infertility scores in the observation group were lower than those in the control group， and the difference was statistically significant （P<0.05）. The recovery time of menstruation and ovulation in the observation group was shorter than that in the control group， and the difference was statistically significant （P<0.05）. The pregnancy success rate of the observation group was higher than that of the control group， and the difference was statistically significant （P<0.05）. The recurrence rate of the disease in the observation group was lower than that in the control group， and the difference was statistically significant （P<0.05）. Conclusion Laparoscopy combined with Goserelin in the treatment of ovarian endometriosis can significantly shorten the improvement time， reduce the recurrence rate and improve the success rate of pregnancy.

綜上所述，采用戈舍瑞林與腹腔鏡治療卵巢型子宮內膜異位癥患者，效果良好，值得臨床推廣。

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