腹腔镜联合药物治疗子宫内膜异位症合并不孕症疗效分析  

Analysis on the Clinical Efficacy of Endometriosis Emerged with Barrenness Treated by Laparoscopy Combined with Drug

作　　者：刘琴[1] 

机构地区：[1]泰州市中医院妇产科,江苏泰州225300

出　　处：《泰州职业技术学院学报》2011年第1期4-5,36,共3页Journal of Taizhou Polytechnic College

摘　　要：目的探讨腹腔镜联合药物治疗子宫内膜异位症合并不孕症疗效。方法回顾分析2006年3月至2009年8月在泰州市中医院治疗子宫内膜异位症合并不孕症患者共58例,分为两组:常规开腹+口服内美通组21例;腹腔镜+促性腺激素释放激素类似物(GnRH-a)组37例,比较两组间的手术效果、术后妊娠率、复发率等情况。结果腹腔镜+GnRH-a组的有效率、妊娠率明显高于开腹+内美通组,且复发率较低,差异具有显著统计学意义(P<0.05)。结论腹腔镜+GnRH-a能提高治疗的有效率和妊娠率,减低复发率,是治疗子宫内膜异位症合并不孕症较理想的治疗方法。Objective To explore clinical efficacy of laparoscopy combined with drug in treatment of endometriosis emerged with barrenness.Methods The clinical data of 58 caces of endometriosis emerged with barrenness treated in Taizhou Traditional Chinese Medical Hospital from March 2006 to August 2009 into 2 groups.One was 21cases with routine laparotomy and oral nemestran,another was 37 cases with laparoscopy and GnRH-a,comparing the effect of operation,pregnancy and recurrence rates after operation between the two groups.Results The effective and pregnancy rates in laparoscopy and GnRH-a group were significantly high than laparotomy and oral nemestran group,and the recurrence rate was lower than control group,the difference had statistically difference（P0.05）.Conclusion The application of laparoscopic and GnRH-a can increase the effective rate,reduce the recurrence rate and increase the pregnancy rate,which is a effective method to treat endometriosis emerged with barrenness.

关 键 词：腹腔镜 促性腺激素释放激素类似物 子宫内膜异位症 不孕症 

分 类 号：R713.7[医药卫生—妇产科学]