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ID:27910797
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时间:2018-12-07
《探讨腹腔镜手术分别联合gnrh―a与孕三烯酮治疗子宫内膜异位症的效果》由会员上传分享,免费在线阅读,更多相关内容在学术论文-天天文库。
1、探讨腹腔镜手术分别联合GnRH-a与孕三烯酮治疗子宫内膜异位症的效果[摘要]目的对比GnRH-a联合腹腔镜与孕三烯酮联合腹腔镜手术治疗子宫内膜异位症的临床疗效。方法方便选取2014年1月一2015年12月该院妇科住院收治的子宫内膜异位症患者80例作为观察对象。采用随机数表法将其分为A组与B组,A组40例患者采用腹腔镜联合GnRH-a治疗,B组40例采用腹腔镜联合孕三烯酮治疗,比较两组患者手术治疗效果及术后并发症、复发情况。结果A组患者术后治疗总有效率为97.50%,明显高于B组患者的72.50%,差异有统计学意义;两组
2、患者术后痛经、月经不调、性交痛等临床症状明显改善,但随访调查结果显示A组患者子宫内膜异位症复发率明显低于B组,差异有统计学意义。结论采用腹腔镜手术联合GnRH-a治疗子宫内膜异位症疗效较腹腔镜联合孕三烯酮更为理想,且患者术后子宫内膜异位症复发率更低,具有临床应用及推广价值。[关键词]腹腔镜手术;GnRH-a;孕三烯酮;子宫内膜异位症;临床疗效[中图分类号]R711[文献标识码]A[文章编号]1674-074205-0097-03[Abstract]ObjectiveTocomparetheclinicalefficac
3、yofGnRH-acombinedwithlaparoscopicandpregnantthreeketenecombinedwithlaparoscopicsurgeryforendometriosis.MethodsConvenientselectionfromJanuary2014toDecember2015screeningofGynecologyofourhospitalfrompatientswithendometriosisin80casesastheobservationobject.Randomlyd
4、ividedintoAgroupandBgroup,Agroup40casesweretreatedbylaparoscopycombinedwithGnRH-atreatment,Bgroupof40casesweretreatedwithlaparoscopycombinedwithpregnantthreeketenetreatment,comparedthetherapeuticeffectoftwogroupspatientstreatedwithsurgeryandpostoperativecomplica
5、tions,recurrence.ResultsIngroupApatientspostoperativetreatmentthetotaleffectiveratewas97.50%,significantlyhigherthanthatofgroupB72.50%ofthepatients,thedifferenceisstatisticallysignificant;Twogroupsofpatientswithpostoperativedysmenorrhea,menstruationtobenotmoved,
6、painduringsex,suchasclinicalsymptomsimprovedsignificantly,butthefollow-upsurveyshowedAgroupofpatientswithendometriosisrecurrenceratewaslowerthanthatingroupB,thedifferenceisstatisticallysignificant.ConclusionLaparoscopicsurgerycombinedwithGnRH-ainthetreatmentofen
7、dometriosiswithlaparoscopycombinedeffectofpregnantthreeketeneismoreideal,andpatientswithpostoperativeendometriosisrecurrencerateislower,withtheclinicalapplicationandpopularizationvalue.[Keywords]Laparoscopicsurgery;GnRH-a;pregnantthreeketene;Endometriosis;Clinic
8、alefficacy子分m内膜异位症是临床上较为常见的妇科疾病之一,是指正常生长在宫腔内的内膜细胞通过输卵管进入盆腔异位生长,患者主要的病理变化为异位内膜周期性出血以及周围组织的纤维化,临床症状主要以痛经、慢性盆腔痛、月经异常以及不孕等,患者一般反复发作,且病程漫长,严重影响女性患者身心健康及生活质量[1]。腹腔镜手术是目前临床治
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