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目的探究卵巢子宫内膜异位囊肿行腹腔镜联合孕三烯酮治疗的临床效果以及复发情况。方法 81例卵巢子宫内膜异位囊肿患者,按治疗方式不同分为对照组(35例)和研究组(46例)。对照组行单纯腹腔镜手术治疗,研究组行腹腔镜联合孕三烯酮治疗,对比两组患者治疗效果、激素水平以及复发情况。结果研究组治疗总有效率为95.65%,显著高于对照组的77.14%(P<0.05);研究组术后1年内复发率为6.52%,显著低于对照组25.71%(P<0.05);治疗后研究组激素水平显著优于对照组(P<0.05)。结论卵巢子宫内膜异位囊肿患者行腹腔镜联合孕三烯酮治疗可改善激素水平,并提高治疗效果,降低复发率,值得推广。
Objective To investigate the clinical effect and relapse of laparoscopic combined gestrinone treatment in ovarian endometriotic cyst. Methods Eighty-one patients with ovarian endometriosis were divided into control group (n = 35) and study group (n = 46) according to different treatment methods. The control group was treated with simple laparoscopic surgery. The study group was treated with laparoscopy combined with gestrinone. The therapeutic effects, hormone levels and recurrence were compared between the two groups. Results The total effective rate of the study group was 95.65%, which was significantly higher than that of the control group (77.14%, P <0.05). The recurrence rate was 6.52% in the study group within one year, which was significantly lower than that in the control group (25.71%, P <0.05). After treatment, the study group hormone levels were significantly better than the control group (P <0.05). Conclusion In patients with ovarian endometriosis, laparoscopy combined with gestrinone treatment can improve hormone levels, and improve the therapeutic effect and reduce the recurrence rate, it is worth promoting.