单纯腹腔镜及开腹手术或联合药物治疗卵巢子宫内膜异位囊肿的对比观察
SHANDONG MEDICAL JOURNAL（2008）
Abstract
167例卵巢子宫内膜异位囊肿患者,腹腔镜手术(腔镜组)79例,其中手术联合药物治疗47例(GnRHa23例,甲羟孕酮24例),单纯手术治疗32例;开腹手术(开腹组)88例,其中手术联合药物治疗61例(GnRHa34例,甲羟孕酮27例),单纯手术治疗27例.结果腔镜组术中出血量和术后住院时间与开腹组相比,P<0.01;腔镜组及开腹组手术联合药物治疗者复发率明显低于单纯手术治疗(P<0.05),用甲羟孕酮和GnRHa治疗后复发率无明显差异(P>0.05).认为腹腔镜手术治疗卵巢子宫内膜异位囊肿出血量少,术后住院时间短,联合药物治疗可降低复发率.
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