CAJ | 학술논문

目的：分析腹腔镜术后联合孕三烯酮或诺雷德治疗中、重度卵巢子宫内膜异位囊肿合并不孕的临床效果。方法：对120例中、重度卵巢子宫内膜异位囊肿合并不孕的患者行腹腔镜手术治疗，根据数字列表法随机分为三组，每组40例，其中一组采用孕三烯酮治疗，列为孕三烯酮组，一组采用诺雷德治疗，列为诺雷德组，其余一组未用药物治疗，列为对照组，比较三组患者术后疗效，妊娠率、复发率及不良反应。结果：①孕三烯酮组有效率为91．49％，诺雷德组为89．13％，对照组为76．19％，用药两组与对照组比较差异有统计学意义（ P＜0．05）；②诺雷德组复发率低于对照组，术后妊娠率高于其他两组，孕三烯酮组术后妊娠率高于对照组，比较差异有统计学意义（P＜0．05）。结论：孕三烯酮、诺雷德用于腹腔镜术后治疗中、重度卵巢子宫内膜异位囊肿合并不孕均有显著效果，诺雷德术后复发率较低，妊娠率较高。
목적：분석복강경술후연합잉삼희동혹낙뢰덕치료중、중도란소자궁내막이위낭종합병불잉적림상효과。방법：대120례중、중도란소자궁내막이위낭종합병불잉적환자행복강경수술치료，근거수자렬표법수궤분위삼조，매조40례，기중일조채용잉삼희동치료，렬위잉삼희동조，일조채용낙뢰덕치료，렬위낙뢰덕조，기여일조미용약물치료，렬위대조조，비교삼조환자술후료효，임신솔、복발솔급불량반응。결과：①잉삼희동조유효솔위91．49％，낙뢰덕조위89．13％，대조조위76．19％，용약량조여대조조비교차이유통계학의의（ P＜0．05）；②낙뢰덕조복발솔저우대조조，술후임신솔고우기타량조，잉삼희동조술후임신솔고우대조조，비교차이유통계학의의（P＜0．05）。결론：잉삼희동、낙뢰덕용우복강경술후치료중、중도란소자궁내막이위낭종합병불잉균유현저효과，낙뢰덕술후복발솔교저，임신솔교고。
Objective:To analyze the clinical effects of laparoscopic surgery combined with gestrinone or zoladex in treatment of moderate , severe ovarian endometriosis cyst complicated with infertility .Method:120 cases of patients with moderate , severe ovarian endometriosis cyst complicated with infertility were trea-ted with laparoscopic operation and were randomly divided into three groups ( each with 40 cases) according to the list of numbers , one group used gestrinone for treatment , as the gestrinone group;One group used zo-ladex for treatment , as the zoladex group;The rest group did not use drug therapy , as control group .Curative effect, pregnancy rate , recurrence rate and adverse reaction were compared anwong three groups of patients after surgery.Result:①The effective rate of gestrinone group zoladex group the control group was 91.49%, 89.13%and 76.19%, compared with control group treatment differences was statistically significant ( P <0.05 );②The recurrence rate of zoladex group was lower than the control group , and the postoperative pregnan-cy rate was higher than the other two groups , the postoperative pregnancy rate of the gestrinone group was higher than the control group , the difference was statistically significant ( P<0.05 ) .Conclusion: Gestri-none , Zoladex laparoscopic surgery for the treatment of moderate to severe endometriosis , ovarian cysts infer-tility have a significant effect , zoladex with lower recurrence rate , a higher pregnancy rate .