首页> 中文期刊> 《中国医药科学》 >腹腔镜联合药物治疗子宫内膜异位症合并不孕的临床分析

腹腔镜联合药物治疗子宫内膜异位症合并不孕的临床分析

         

摘要

Objective To investigate the clinical efficacy of laparoscope combined with drug treating endometriosis complicated with infertility.Methods70 cases of endometriosis complicated with infertility patients from April 2013 to April 2014 in our hospital were selected.They were randomly divided into control group and observation group,35 cases in each group.The control group were treated with laparoscope.The observation group were treated with laparoscope combined and drug.The clinical efficacy of the two groups were compared.Results The total effective rate of the control group and observation group was 82.9%,97.1%,respectively.Compared with the control group,the total effective rate of the observation group was significantly improved (P<0.05).The incidence of adverse reactions of the control group and observation group was14.1%,2.9%,respectively.Compared with the control group,the incidence of adverse reactions in the observation group was significantly decreased(P<0.05).The serum CA125 of two groups were significantly decreased compared with before treatment (P<0.05).The pregnancy rate of observation group 31.4% was significantly increased compared with control group 14.3%,(P<0.05).ConclusionLaparoscope combined with drug has a good effect on endometriosis complicated with infertility,it is worth to be recommended.%目的:探讨腹腔镜联合药物治疗子宫内膜异位症合并不孕的临床效果。方法本研究选取了2013年4月~2014年4月我院收治的70例子宫内膜异位症合并不孕患者作为研究对象,将70例患者随机分为对照组和观察组,每组各35例,对照组患者采用腹腔镜手术治疗,观察组患者采用腹腔镜联合药物治疗,对比两组患者的临床疗效。结果观察组的治疗有效率为97.1%,较对照组的82.9%明显提高,差异有统计学意义(P<0.05)。观察组的并发症发生率为2.9%,较对照组的11.4%明显降低,差异有统计学意义(P<0.05)。两组患者治疗后的血清CA125均较治疗前显著降低(P<0.05)。观察组术后6个月的妊娠率为31.4%,较对照组的14.3%明显提高(P<0.05)。结论腹腔镜联合药物治疗子宫内膜异位症合并不孕具有良好效果,值得推荐。

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