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目的观察腹腔镜联合药物治疗卵巢内异症囊肿疗效。方法选取2006年1月至2010年1月成都市第七人民医院腹腔镜联合药物治疗卵巢内异症患者105例,腹腔镜手术联合孕三烯酮治疗组(A组)62例,腹腔镜手术联合甲地孕酮治疗组(B组)43例。所有患者随访3～12个月,对症状缓解情况,术后复发率及受孕率进行比较分析。结果 A组有效率44.1%,B组有效率78.0%,B组疗效明显高于A组(P<0.05)。结论腹腔镜联合甲地孕酮可作为卵巢内异症囊肿有效的治疗方法,疗效优于孕三烯酮。
Objective To observe the efficacy of laparoscopic combined with drug treatment of endometriotic cyst. Methods From January 2006 to January 2010, 105 cases of ovarian endometriosis were treated with laparoscopic combination therapy in the Seventh People’s Hospital of Chengdu City. Among them, laparoscopic surgery combined with gestrinone treatment group (group A) In combination with megestrol treatment group (B group) 43 cases. All patients were followed up for 3 to 12 months, the symptom relief, postoperative recurrence rate and pregnancy rate were compared. Results The effective rate was 44.1% in group A and 78.0% in group B, and the effect in group B was significantly higher than that in group A (P <0.05). Conclusion Laparoscopy combined with megestrol can be used as an effective treatment of ovarian cyst, efficacy is better than gestrinone.