摘要
目的探讨对子宫内膜异位症患者采用腹腔镜手术+曲普瑞林药物完成治疗后获得临床效果。方法方便选取2018年1月—2021年3月收治的86例子宫内膜异位症患者进行治疗研究;随机分为常规组(采用腹腔镜手术+孕三烯酮药物)和研究组(采用腹腔镜手术+曲普瑞林药物),各43例;比较两组患者治疗总有效率、妊娠率、疾病复发率、血清FSH水平、血清E2水平、LH水平以及不良反应发生率。结果研究组治疗总有效率(95.35%)高于常规组(76.74%),差异有统计学意义(χ^(2)=6.198,P<0.05);研究组妊娠率高于常规组、疾病复发率低于常规组,差异有统计学意义(P<0.05);经治疗后,研究组血清FSH水平、血清E2水平、LH水平均低于常规组,差异有统计学意义(P<0.05);研究组不良反应发生率与常规组比较,差异无统计学意义(P>0.05)。结论腹腔镜手术+曲普瑞林药物联合应用,可改善治疗效果、提升妊娠率、降低疾病复发率,并改善患者FSH水平、血清E2水平、LH水平,提升患者总体预后水平。
Objective To explore the clinical effects of laparoscopic surgery+triptorelin for patients with endometriosis.Methods A total of 86 patients with endometriosis admitted from January 2018 to March 2021 were conveniently selected for treatment research.Randomly divided into conventional group(used laparoscopic surgery+gestrinone drug)and study group(used laparoscopic surgery+triptorelin drug),each with 43 cases.The total effective rate of treatment,pregnancy rate,disease recurrence rate,serum FSH level,serum E2 level,LH level and incidence of adverse reactions were compared between the two groups of patients.Results The total effective rate of treatment in the study group(95.35%)was higher than that in the conventional group(76.74%),and the difference was statistically significant(χ^(2)=6.198,P<0.05);the pregnancy rate of the study group was higher than that of the conventional group,and the disease recurrence rate was lower than that of the conventional group;the difference was statistically significant(P<0.05);after treatment,serum FSH levels,serum E2 levels,and LH levels in the study group were lower than those in the conventional group,and the difference was statistically significant(P<0.05);here was no statistically significant difference in the incidence of adverse reactions between the study group and the conventional group(P>0.05).Conclusion The combined application of laparoscopic surgery and triptorelin can improve the treatment effect,increase pregnancy rate,reduce disease recurrence rate,and improve patients'FSH levels,serum E2 levels,and LH levels,and improve the overall prognosis of patients.
作者
李巧婵
LI Qiaochan(Department of Obstetrics and Gynecology,Wuchuan Maternal and Child Health and Family Planning Service Center,Zhanjiang,Guangdong Province,524500 China)
出处
《中外医疗》
2021年第35期56-58,62,共4页
China & Foreign Medical Treatment
