临床和实验医学杂志
臨床和實驗醫學雜誌
림상화실험의학잡지
Journal of Clinical and Experimental Medicine
2015年
19期
1636-1638
,共3页
子宫内膜异位症%腹腔镜手术%促性腺激素释放激素激动剂
子宮內膜異位癥%腹腔鏡手術%促性腺激素釋放激素激動劑
자궁내막이위증%복강경수술%촉성선격소석방격소격동제
Endometriosis%Laparoscopic surgery%Gonadotropin - releasing hormone agonist
目的:研究分析子宫内膜异位症患者腹腔镜术后应用促性腺激素释放激素激动剂(GnRH - a)的有效性及安全性。方法选取子宫内膜异位症患者100例,随机分成观察组和对照组,各50例;观察组患者行腹腔镜术后,自恢复月经第1天开始,每4周皮下注射 GnRH - a 3.75 mg,连续治疗3个月,对照组仅行腹腔镜术治疗;收集各患者术后两年内的随访资料,对两组患者的疼痛度、复发率和妊娠率进行比较。结果观察组患者术后无痛、轻度疼痛患者比率明显高于对照组,差异具有统计学意义( P ﹤0.05)。术后两年随访期间,观察组患者术后复发率(6.0%)明显低于对照组(28.0%),妊娠率(78.0%)明显高于对照组(40.0%),差异均具有统计学意义( P ﹤0.05)。结论与单纯腹腔镜手术相比,术后联合促性腺激素释放激素激动剂治疗子宫内膜异位症能明显改善症状,使疼痛减轻,降低复发率,提高术后妊娠率。
目的:研究分析子宮內膜異位癥患者腹腔鏡術後應用促性腺激素釋放激素激動劑(GnRH - a)的有效性及安全性。方法選取子宮內膜異位癥患者100例,隨機分成觀察組和對照組,各50例;觀察組患者行腹腔鏡術後,自恢複月經第1天開始,每4週皮下註射 GnRH - a 3.75 mg,連續治療3箇月,對照組僅行腹腔鏡術治療;收集各患者術後兩年內的隨訪資料,對兩組患者的疼痛度、複髮率和妊娠率進行比較。結果觀察組患者術後無痛、輕度疼痛患者比率明顯高于對照組,差異具有統計學意義( P ﹤0.05)。術後兩年隨訪期間,觀察組患者術後複髮率(6.0%)明顯低于對照組(28.0%),妊娠率(78.0%)明顯高于對照組(40.0%),差異均具有統計學意義( P ﹤0.05)。結論與單純腹腔鏡手術相比,術後聯閤促性腺激素釋放激素激動劑治療子宮內膜異位癥能明顯改善癥狀,使疼痛減輕,降低複髮率,提高術後妊娠率。
목적:연구분석자궁내막이위증환자복강경술후응용촉성선격소석방격소격동제(GnRH - a)적유효성급안전성。방법선취자궁내막이위증환자100례,수궤분성관찰조화대조조,각50례;관찰조환자행복강경술후,자회복월경제1천개시,매4주피하주사 GnRH - a 3.75 mg,련속치료3개월,대조조부행복강경술치료;수집각환자술후량년내적수방자료,대량조환자적동통도、복발솔화임신솔진행비교。결과관찰조환자술후무통、경도동통환자비솔명현고우대조조,차이구유통계학의의( P ﹤0.05)。술후량년수방기간,관찰조환자술후복발솔(6.0%)명현저우대조조(28.0%),임신솔(78.0%)명현고우대조조(40.0%),차이균구유통계학의의( P ﹤0.05)。결론여단순복강경수술상비,술후연합촉성선격소석방격소격동제치료자궁내막이위증능명현개선증상,사동통감경,강저복발솔,제고술후임신솔。
Objective To analyze the effectiveness and safety of using gonadotropin releasing hormone agonist in patients with endometrio-sis after laparoscopic surgery. Methods One hundred patients with endometriosis were allocated in this study. They were randomly divided into observation group and control group(n = 50,respectively). Patients in observation group were administered with GnRH - a injection once since the first day of recovery of menstruation after surgery. Each patient was administered 3. 75 mg every four weeks,continued for three months. In the mean time,no adjuvant therapy was given to patients in the control group. The data of patients were collected after follow - up for two years. The degree of pain in patients,recurrence rate and pregnancy rate were compared between these two groups. Results The ratio of mild postoperative pain and painless patients in observation group was significantly higher than that of control group,and the difference was statistically significant( P ﹤ 0. 05). During the follow - up period for two years after surgery,the recurrence rate in observation group(6. 0% )was lower than that of con-trol group(28. 0% ). In the same time,the pregnancy rate in observation group(78. 0% )was higher than that of control group(40. 0% ),and the difference was statistically significant( P ﹤ 0. 05). Conclusion In comparison with laparoscopic surgery,combination with gonadotropin re-leasing hormone agonist can significantly remit the symptoms of endometriosis and relieve the pain,reduce the rate of relapse and raise the rate of pregnancy after treatment.