CAJ | 학술논문

目的：比较腹腔镜手术联合孕三烯酮与诺雷德治疗子宫内膜异位症的临床疗效。方法选取2011年3月—2014年5月资中县人民医院收治的子宫内膜异位症患者100例，随机分为对照组与试验组，各50例。两组患者均予以腹腔镜手术治疗，术后对照组患者予以孕三烯酮治疗，试验组患者予以诺雷德治疗。观察两组患者临床疗效、再次妊娠率及复发率。结果试验组患者总有效率高于对照组，再次妊娠率高于对照组，复发率低于对照组，差异有统计学意义（P ＜0.05）。结论腹腔镜手术联合诺雷德治疗子宫内膜异位症的临床疗效好于腹腔镜手术联合孕三烯酮，能有效地改善患者的临床症状，提高患者再次妊娠率，降低患者复发率。
목적：비교복강경수술연합잉삼희동여낙뢰덕치료자궁내막이위증적림상료효。방법선취2011년3월—2014년5월자중현인민의원수치적자궁내막이위증환자100례，수궤분위대조조여시험조，각50례。량조환자균여이복강경수술치료，술후대조조환자여이잉삼희동치료，시험조환자여이낙뢰덕치료。관찰량조환자림상료효、재차임신솔급복발솔。결과시험조환자총유효솔고우대조조，재차임신솔고우대조조，복발솔저우대조조，차이유통계학의의（P ＜0.05）。결론복강경수술연합낙뢰덕치료자궁내막이위증적림상료효호우복강경수술연합잉삼희동，능유효지개선환자적림상증상，제고환자재차임신솔，강저환자복발솔。
Objective To compare the effect between laparoscopic surgery combined with Gestrinone and Zoladex in treating endometriosis. Methods A total of 100 patients with endometriosis were selected in the People's Hospital of Zizhong County from March 2011 to May 2014,they were randomly divided into control group and test group,50 cases in each group. Two groups of patients were treated by laparoscopic surgery,after operation control group were given Gestrinone treatment, test group were given Zoladex treatment. Clinical effect,subsequent pregnancy rate and recurrence rate between the two groups were compared. Results The total effective rate of test group was higher than that of control group,subsequent pregnancy rate was higher than that of control group,recurrence rate was lower than that of control group(P < 0. 05). Conclusion Laparo-scopic surgery combined with Zoladex treatment of endometriosis is better than that of laparoscopic surgery combined with Gestri-none,can effectively improve the patients' clinical symptoms,improve subsequent pregnancy rate,decrease recurrence rate.