腹腔镜联合孕三烯酮治疗卵巢子宫内膜异位囊肿临床观察  

Clinical observation on endometrial cyst of ovary treated with laparoscopic surgery combined with gestrinone

作　　者：周萍[1] 王涛[1] 冉崇兰 

机构地区：[1]四川省成都市妇产科医院,610015

出　　处：《中国妇幼保健》2011年第11期1725-1726,共2页Maternal and Child Health Care of China

摘　　要：目的:探讨腹腔镜联合孕三烯酮治疗子宫内膜异位囊肿的疗效及防治子宫内膜异位囊肿复发的可行性及临床价值。方法:选择2005年1月～2007年3月行腹腔镜手术的卵巢子宫内膜异位囊肿患者72例,依据是否联合药物治疗分为单纯腹腔镜手术组35例和孕三烯酮联合治疗组37例。随访24～36个月,对症状缓解情况、术后复发率进行比较分析。结果:单纯手术组的复发率为51.43%,联合治疗组的复发率为18.9%,差异有统计学意义。结论:腹腔镜术后联合孕三烯酮有利于防治卵巢子宫内膜异位囊肿复发,可以作为卵巢子宫内膜异位囊肿术联合治疗的选择方案。Objective： To explore the clinical efficacy of laparoscopic surgery combined with gestrinone in treatment of endometrial cyst of ovary, evaluate the feasibility of recurrence and clinical value. Methods： 72 cases with endometrial cyst of, ovary who had received laparoscopic surgery in the hospital from January 2005 to March 2007 were selected, then they were divided into simple laparoseopic surgery group （ 35 cases ） and combined group （ 37 cases） according to receiving drug treatment or not. The cases were followed up for 24 - 36 months, then the remission rates of symptoms and postoperative recurrence rates in the two groups were analyzed. Results： The recurrence rates in simple laparoscopic surgery group and combined group were 51.43% and 18.9% , respectively, there was significant difference between the two groups. Conclusion： Laparoscopic surgery combined with gestrinone contributes to the prevention and treatment of recurrence of endometrial cyst of ovary, which can be used for choosing treatment protocols of endometrial cyst of ovary.

关 键 词：腹腔镜 子宫内膜异位症 孕三烯酮 

分 类 号：R711.71[医药卫生—妇产科学]