CAJ | 학술논문

目的：探讨达菲林对缓解中重度子宫内膜异位症术后疼痛程度的影响。方法随机将该院于2010年6月-2013年5月间收治的66例中重度子宫内膜异位症腹腔镜术后患者分为两组，对照组采用孕三烯酮胶囊治疗，观察组给予达菲林治疗。两组疗程均为6个月，观察两组术后疼痛程度、复发率及自然妊娠率。结果术后3个月、6个月、1年、2年VAS评分，观察痛经、盆腔痛及性交痛VAS评分均明显低于对照组，比较差异有统计学意义（P<0.05）；随访2年，观察组术后2年复发率7例，自然妊娠12例，对照组术后2年复发9例，自然妊娠11例，两组术后2年复发、自然妊娠率比较，差异无统计学意义(P>O.05)。结论达菲林用于中重度子宫内膜异位症腹腔镜手术后，有助于缓解子宫内膜异位症术后疼痛程度。
목적：탐토체비림대완해중중도자궁내막이위증술후동통정도적영향。방법수궤장해원우2010년6월-2013년5월간수치적66례중중도자궁내막이위증복강경술후환자분위량조，대조조채용잉삼희동효낭치료，관찰조급여체비림치료。량조료정균위6개월，관찰량조술후동통정도、복발솔급자연임신솔。결과술후3개월、6개월、1년、2년VAS평분，관찰통경、분강통급성교통VAS평분균명현저우대조조，비교차이유통계학의의（P<0.05）；수방2년，관찰조술후2년복발솔7례，자연임신12례，대조조술후2년복발9례，자연임신11례，량조술후2년복발、자연임신솔비교，차이무통계학의의(P>O.05)。결론체비림용우중중도자궁내막이위증복강경수술후，유조우완해자궁내막이위증술후동통정도。
Objective To investigate the influence Diphereline to alleviate moderate to severe endometriosis degree of postopera-tive pain. Methods 66 patients from 2010 June to 2013 May with moderate to severe endometriosis after laparoscopic surgery were divided into two groups, using Gestrinone capsule treatment, observation group Diphereline treatment. The treatment lasted six months, were observed postoperative pain, recurrence rate and natural pregnancy. Results After 3 months, 6 months, 1 year, 2 years VAS score was observed dysmenorrhea, pelvic pain and dyspareunia VAS scores were significantly lower than the control group, the difference was statistically significant (P<0.05);follow-up of 2 years, the observation group after 2-year recurrence rate of 7 cases, 12 cases of spontaneous pregnancy in the control group after 2-year recurrence 9 cases, 11 cases of spontaneous preg-nancy, postoperative recurrence 2 years, natural pregnancy rate, the difference was not statistically significant (P>0.05). Conclu-sion Diphereline can effectively relieve endometriosis postoperative pain, reduce the relapse rate.