CAJ | 학술논문

目的：探讨子宫内膜异位症腹腔镜保守性手术后采用米非司酮或妈富隆的治疗效果。方法：将我院2012年11月～2013年12月采用腹腔镜保守性手术治疗的84例子宫内膜异位症患者随机分为观察组和对照组，每组42例，对照组术后采用妈富隆治疗，观察组术后采用米非司酮治疗，比较两组的治疗效果。结果：两组患者在疗效、药物副反应、症状及体征评分、病灶大小等方面均无统计学意义。观察组用药3个月后的雌激素 E2、LH、FSH 波动水平小于对照组，有统计学意义。结论：子宫内膜异位症腹腔镜手术后采用米非司酮和妈富隆均能有效降低复发率，米非司酮对卵巢功能影响小，妈富隆不良反应少。
목적：탐토자궁내막이위증복강경보수성수술후채용미비사동혹마부륭적치료효과。방법：장아원2012년11월～2013년12월채용복강경보수성수술치료적84례자궁내막이위증환자수궤분위관찰조화대조조，매조42례，대조조술후채용마부륭치료，관찰조술후채용미비사동치료，비교량조적치료효과。결과：량조환자재료효、약물부반응、증상급체정평분、병조대소등방면균무통계학의의。관찰조용약3개월후적자격소 E2、LH、FSH 파동수평소우대조조，유통계학의의。결론：자궁내막이위증복강경수술후채용미비사동화마부륭균능유효강저복발솔，미비사동대란소공능영향소，마부륭불량반응소。
Objective to investigate the treatment effect of mifepristone or Marvelon after endometriosis laparoscopic con-servative operation. Methods 84 cases of laparoscopic conservative operation pantients with endometriosis in our hospital from 2012 November-2013 December were randomly divided into the observation group and the control group, 42 cases in each group, the control group was treated with Marvelon, the observation group was treated with mifepristone, treatment effect was compared between the two groups. Results There were no significant difference in treatment effect, adverse drug reaction, smp-toms and signs score, lesion size between the two groups. Estrogen fluctuation level of E2, LH, FSH after 3 months in the obser-vation group was less than that in the control group, with statistical significance. Conclusions Using mifepristone and Marvelon after laparoscopic operation with endometriosis can effectively reduce the recurrence rate; The effect of mifepristone on ovarian function is small, adverse reaction of marvelon is less.