CAJ | 학술논문

　　目的探讨腹腔镜联合性腺激素释放激素激动剂(GnRHa)治疗卵巢子宫内膜异位囊肿的临床疗效。方法选取70例卵巢子宫内膜异位囊肿患者，随机分为观察组、对照组各35例。观察组腹腔镜术后肌内注射GnRHa，对照组腹腔镜术后行常规冲洗及抗感染；比较两组复发率、妊娠率，观察观察组的不良反应情况。结果观察组的复发率(5.7%)较对照组低，妊娠率(67.0%)高于对照组，差异均有统计学意义(均P＜0.05)；观察组术后肌内注射GnRHa，转氨酶升高者2例，对照组出现潮热、出汗及阴道分泌物减少患者3例，两组不良反应比较，无统计学差异（P＞0.05）。结论卵巢子宫内膜异位囊肿应用腹腔镜联合GnRHa治疗可降低复发率、提高妊娠率，具有极大应用前景。
　　목적탐토복강경연합성선격소석방격소격동제(GnRHa)치료란소자궁내막이위낭종적림상료효。방법선취70례란소자궁내막이위낭종환자，수궤분위관찰조、대조조각35례。관찰조복강경술후기내주사GnRHa，대조조복강경술후행상규충세급항감염；비교량조복발솔、임신솔，관찰관찰조적불량반응정황。결과관찰조적복발솔(5.7%)교대조조저，임신솔(67.0%)고우대조조，차이균유통계학의의(균P＜0.05)；관찰조술후기내주사GnRHa，전안매승고자2례，대조조출현조열、출한급음도분비물감소환자3례，량조불량반응비교，무통계학차이（P＞0.05）。결론란소자궁내막이위낭종응용복강경연합GnRHa치료가강저복발솔、제고임신솔，구유겁대응용전경。
Objective To discuss the clinical efifcacy of laparoscopy combined gonadotropin-releasinghormone agonists(GnRHa) in ovarian endometriosis cyst. Methods 70 cases of ovarian endometriosis cyst were selected, and were randomly divided into observation group and control group the 35 patients, observation group used laparoscopic surgery and GnRHa, control group used conventional washing and anti-infection after laparoscopic surgery;recurrence rates, pregnancy rate of two groups were compared, adverse reaction conditions of observation group was observed. Results The recurrence rate in observation group(5.7%)was lower, the pregnancy rate(67.0%) was higher than those in the control group, the differences were statistically signiifcant (P<0.05). After intramuscular injection of GnRHa 2 patients elevated transaminase in observation group, three patients had hot lfashes, sweating and vaginal secretions reduce in the control group, two adverse reactions, no signiifcant difference (P>0.05). Conclusion Laparoscopy combined GnRHa treatment in ovarian endometriosis cyst application of can reduce the recurrence rate, increase pregnancy rate, has the great application prospect.