促性腺激素释放激素激动剂联合腹腔镜手术治疗子宫内膜异位症的临床疗效探讨  

Clinical effcacy of gonadotropin-releasing hormone agonist and laparoscopy in treating the endometriosis

作　　者：周蒋亮 Zhou Jiangliang(Department of Gynecology,Hezhou People's Hospital,Hezhou 542899,China)

机构地区：[1]贺州市人民医院妇科,广西贺州542899

出　　处：《实用妇科内分泌电子杂志》2023年第6期43-45,共3页Electronic Journal of Practical Gynecological Endocrinology

摘　　要：目的探究促性腺激素释放激素激动剂、腹腔镜手术在子宫内膜异位症患者临床治疗中的效果。方法选取140例行腹腔镜手术的子宫内膜异位症患者,按照随机抽签法分为对照组与试验组,各70例。对照组仅应用腹腔镜治疗,试验组使用促性腺激素释放激素激动剂联合腹腔镜手术治疗。比较两组治疗效果。结果相比对照组,试验组术后3个月复发率、不良反应发生率更低,妊娠率更高(P<0.05)。试验组总有效率95.71%高于对照组的81.43%,差异有统计学意义(P<0.05)。结论促性腺激素释放激素激动剂+腹腔镜手术治疗子宫内膜异位症效果更理想,可显著降低复发率及腹痛等不良反应发生率,可提升有生育需求者妊娠率,值得临床采用。Objective To explore the effect of gonadotropin-releasing hormone agonists and laparoscopic surgery in the clinical treatment of patients with endometriosis.Methods 140 patients with endometriosis who underwent laparoscopic surgery were randomly divided into control group and experimental group,with 70 cases in each group.The control group only received laparoscopic treatment,and the experimental group received gonadotropin-releasing hormone agonists combined with laparoscopic surgery.The therapeutic effect of the two groups was compared.Results Compared with the control group,the recurrence rate and the incidence of adverse reactions were lower in the experimental group 3 months after surgery,and the pregnancy rate was higher(P<0.05).The total effective rate of the experimental group was 95.71%higher than that of the control group(81.43%),and the difference was statistically significant(P<0.05).Conclusion The gonadotropin-releasing hormone agonist and laparoscopy can reduce the recurrence rates,abdominal pain and other adverse reactions,improve the pregnancy rates for endometriosis patients.It is worthy of clinical application.

关 键 词：腹腔镜手术 促性腺激素释放激素激动剂 子宫内膜异位症 不良反应率 妊娠率 

分 类 号：R711.71[医药卫生—妇产科学]