摘要
目的探讨卵巢子宫内膜异位症囊肿腹腔镜术后辅助不同药物治疗的临床效果。方法将四川省内江市第一人民医院妇产科2010年1月～2011年12月收治的180例卵巢子宫内膜异位症囊肿患者随机分为三组,A组60例患者仅给予腹腔镜手术治疗,B组60例患者在术后给予米非司酮治疗,C组60例患者术后给予米非司酮联合中药治疗,观察三组的临床治疗效果。结果 A组总有效率为70.0%,B组总有效率为83.3%,C组总有效率为91.7%,三组比较差异有统计学意义(P<0.05)。C组的复发率明显低于B组和A组,差异有统计学意义(P<0.05)。C组不良反应发生率为21.7%,B组为28.3%,两组比较差异无统计学意义(P>0.05)。结论临床中卵巢子宫内膜异位症囊肿腹腔镜术后辅以中西结合治疗能够有效降低术后复发率,提高临床治疗效果,不良反应也少,值得临床中应用。
Objective To investigate the clinical efficacy of different drugs in adjuvant therapy of ovarian endometrio- sis cyst after laparoscopic surgery. Methods 180 cases of ovarian endometriosis cyst in the Department of Obstetrics and Gynecology in First People＇s Hospital of Neijiang City of Sichuan Province from January 2010 to December 2011 were randomly divided into three groups, 60 cases of group A were only given laparoscopic operation, 60 cases of group B were treated with Mifepristone in postoperation, 60 cases of group C were treated with Mifepristone and tradi- tional Chinese medicine, the efficacy of the three groups were observed. Results The total efficiency of group A was 70.0%, which of group B was 83.3%, which of group C was 91.7%, there was a statistically significant difference among three groups （P 〈 0.05）. The recurrence rate of group C was significantly lower than that of group B and group A, there were statistically significant differences among three groups （P 〈 0.05）. The incidence rate of adverse reactions in group C was 21.7%, which of group B was 28.3%, there were no significant differences between the two groups （P 〉 0.05）. Conclusion Chinese combined with western medicine in adjuvant therapy of ovarian endometriosis cyst after la- paroscopic surgery in clinical practice can effectively reduce the recurrence rate, improve the clinical treatment effect, which has less adverse reactions and is worthy of clinical application.
出处
《中国医药导报》
CAS
2013年第21期104-105,108,共3页
China Medical Herald
基金
江苏省科技创新与成果转化专项资金项目(编号BL2012009)
