Clinical Analysis of 830 Cases Endometriosis Treated by Laparoscopy Combined with Medicine_West China Medical Journal

Authors：

GONG Yunhui , SHI Gang.

Department of Gynecology and Obstetrics,West China Second Hospital, Sichuan University, Chengdu Sichuan 610041, China;

Corresponding author：

Keywords：

子宫内膜异位症; 腹腔镜; 药物治疗; 复发率; 受孕率

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目的:分析腹腔镜手术联合药物治疗子宫内膜异位症的疗效。方法:回顾性分析2002年至2005年四川大学华西第二医院收治的830例子宫内膜异位症患者腹腔镜手术治疗后的随访资料。比较手术后加用丹那唑、孕三烯酮(内美通)、诺雷得以及中药治疗3个月后的轻、重度子宫内膜异位症的复发率、合并不孕患者的受孕率。结果:术后两年,各药物组在各类中受孕率及在轻度中复发率无明显差异,在重度中,中药组复发率显著高于其他各药物组。结论:子宫内膜异位症腹腔镜手术后联合用药可降低复发率,提高受孕率。中药组的复发率在重度子宫内膜异位症中要高于其他组。各药物组在受孕率上无显著差异。

Citation： GONG Yunhui,SHI Gang.. Clinical Analysis of 830 Cases Endometriosis Treated by Laparoscopy Combined with Medicine. West China Medical Journal, 2009, 24(6): 1424-1427. doi: Copy

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1. 乐杰.妇产科学[M].第6版,北京:人民卫生出版社.2003: 354-361 [2]石一复.子宫内膜异位症的诊断和治疗现状[J].中华妇产科杂志,1996, 31(10): 591.
2. VERCELLINI P, CROSIGNANI, FADINI R, et al. A gonadotrophinrealeasing hormone gonist comparened with expectant management after conservative surgery for symptomatic endometriosis[J]. Br J Obstet Gynaecol,1999,106(7):672.
3. 姚书忠,韦成厚,陈玉清,牛刚,刘栋擎.腹腔镜及开腹手术剔除卵巢子宫内膜异位囊肿疗效的比较研究[J].腹腔镜外科杂志, 2004,9(2):86-88.
4. 黄婉,薛素华,黄燕清.卵巢子宫内膜异位囊肿腹腔镜手术的治疗价值[J].中国实用妇科与产科杂志,1998,14(3):161-162.
5. 张爱荣,亓向群,陈丽君,等.用腹腔镜手术治疗卵巢子宫内膜异位囊肿的临床观察[J].山东医科大学学报,2OOO,38(3):307-308.
6. 林金芳,孙翠翔,华克勤,等.应用腹腔镜诊断和治疗子宫内膜异位症及不孕症的疗效[J].中华妇产科杂志,2005,40(1):9-12.
7. 冷金花,郎景和,杨佳欣.子宫内膜异位症的诊治进展[J].中华妇产科杂志,2000,35 (1):5.
8. ERIKSSON MJ,SONNENBERG B,WOO A, et alLo ngterm outcome in patients with apical hypertrophic cardiomyopathy[J]. J AM Coil Cardiol,2002,39:638-645.
9. MALINOUSKI A,NOWAK M,MACIDEK·BLOWNIEWSKA G, et alThe place of laparoscopy in gynecological field as useful technique for diagnostic and treatment of infertility and endometriosis[J].Ginekol Po1,2001.72:1347-1354.

West China Medical Journal

Clinical Analysis of 830 Cases Endometriosis Treated by Laparoscopy Combined with Medicine

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