河北医学
河北醫學
하북의학
HEBEI MEDICINE
2015年
11期
1818-1821
,共4页
腹腔镜手术%米非司酮%巧克力囊肿
腹腔鏡手術%米非司酮%巧剋力囊腫
복강경수술%미비사동%교극력낭종
Laparoscopic surgery%Mifepristone%Chocolate cyst
目的:观察腹腔镜手术联合米非司酮口服治疗卵巢巧克力囊肿的效果。方法:选取我院2012年1月至2014年1月间收治的110例单侧卵巢巧克力囊肿患者,将其随机分为观察组以及对照组,每组55例,两组均进行腹腔镜下巧克力囊肿剥除术,观察组在术后第2天予以口服米非司酮10mg/d,连续治疗3月,术后随访1年,比较1年后两组复发率、痛经情况以及治疗前后两组患者的FSH、LH、E2、P 水平变化情况。结果:观察组复发率为3.64%(2/55),对照组为10.91%(6/55),组间比较有统计学差异,χ2=3.960,P<0.05。两组患者在治疗前后的FSH、LH、E2、P 水平组间比较无明显差异,P>0.05,组内比较亦无明显差异,P>0.05。术后1年,与对照组相比,观察组的痛经发生率以及程度均明显下降,组间比较差异有统计学意义,P<0.05。结论:腹腔镜手术联合口服米非司酮治疗卵巢巧克力囊肿可以取得良好的效果,降低术后复发率,且不会对卵巢功能产生明显的影响。
目的:觀察腹腔鏡手術聯閤米非司酮口服治療卵巢巧剋力囊腫的效果。方法:選取我院2012年1月至2014年1月間收治的110例單側卵巢巧剋力囊腫患者,將其隨機分為觀察組以及對照組,每組55例,兩組均進行腹腔鏡下巧剋力囊腫剝除術,觀察組在術後第2天予以口服米非司酮10mg/d,連續治療3月,術後隨訪1年,比較1年後兩組複髮率、痛經情況以及治療前後兩組患者的FSH、LH、E2、P 水平變化情況。結果:觀察組複髮率為3.64%(2/55),對照組為10.91%(6/55),組間比較有統計學差異,χ2=3.960,P<0.05。兩組患者在治療前後的FSH、LH、E2、P 水平組間比較無明顯差異,P>0.05,組內比較亦無明顯差異,P>0.05。術後1年,與對照組相比,觀察組的痛經髮生率以及程度均明顯下降,組間比較差異有統計學意義,P<0.05。結論:腹腔鏡手術聯閤口服米非司酮治療卵巢巧剋力囊腫可以取得良好的效果,降低術後複髮率,且不會對卵巢功能產生明顯的影響。
목적:관찰복강경수술연합미비사동구복치료란소교극력낭종적효과。방법:선취아원2012년1월지2014년1월간수치적110례단측란소교극력낭종환자,장기수궤분위관찰조이급대조조,매조55례,량조균진행복강경하교극력낭종박제술,관찰조재술후제2천여이구복미비사동10mg/d,련속치료3월,술후수방1년,비교1년후량조복발솔、통경정황이급치료전후량조환자적FSH、LH、E2、P 수평변화정황。결과:관찰조복발솔위3.64%(2/55),대조조위10.91%(6/55),조간비교유통계학차이,χ2=3.960,P<0.05。량조환자재치료전후적FSH、LH、E2、P 수평조간비교무명현차이,P>0.05,조내비교역무명현차이,P>0.05。술후1년,여대조조상비,관찰조적통경발생솔이급정도균명현하강,조간비교차이유통계학의의,P<0.05。결론:복강경수술연합구복미비사동치료란소교극력낭종가이취득량호적효과,강저술후복발솔,차불회대란소공능산생명현적영향。
Objective:To observe the curative effect of using laparoscopic combined mifepristone in the treatment of ovarian chocolate cyst .Method:Selected 110 cases of unilateral ovarian chocolate cyst patients from January 2012 to January 2012 , randomly divided them into observation group and control group , 45 ca-ses in each group , two groups all received chocolate cyst removal surgery performed by laparoscopic , obser-vation group received mifepristone 10 mg/d for oral treatment 2 days after surgery , made a continuous treat-ment for 3 months,follow-up for 1 year postoperative ,compared the recurrence rates , dysmenorrhea in two groups after 1 year, and compared the changing of FSH , LH, E2 , P level in two groups before and after treatment.Result:The recurrence rate in observation group and control group was 3.64%(2/55), 10.91%(6/55) respectively, The difference was statistically significant between groups , (χ2=3.960, P <0.05). FSH, LH, E2, P level before and after treatment of the two groups had no significant difference , P >0.05. After one year , compared with the control group , the incidence and degree of dysmenorrhea in observation group were significantly lower , the difference between groups was statistically significant , P <0.05).Con-clusion:Laparoscopic surgery combined oral mifepristone therapy for ovarian chocolate cyst can achieve good effect, reduce the postoperative recurrence rate , and do not have apparent effect on ovarian function .