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目的:探讨卵巢子宫内膜异位囊肿(OEMA)腹腔镜手术后采用中西医联合预防其复发的临床效果。方法:60例行腹腔镜手术的OEMA患者随机分为治疗组和对照组,各30例。所有患者均行腹腔镜剔除术,术后对照组采用孕三烯酮治疗,治疗组采用中医联合孕三烯酮治疗,治疗6个月后评价近期疗效,术后随访3年评价复发情况。结果:治疗组临床疗效有效率为96.7%,显著高于对照组(70.0%);两组患者均获随访3年,随访率100%,随访期结束时,治疗组复发率为6.7%,对照组复发率为40.0%,治疗组术后复发率显著低于对照组(P<0.05)。结论:中西医联合能有效抑制OEMA术后复发,远期疗效明显,值得临床上推广应用。
Objective: To investigate the clinical efficacy of combined Chinese and Western medicine in the prevention of recurrence of ovarian endometriosis cyst (OEMA) after laparoscopic surgery. Methods: Sixty OEMA patients undergoing laparoscopic surgery were randomly divided into treatment group and control group, with 30 cases in each group. All patients underwent laparoscopic resection. The patients in the control group were treated with gestrinone. The patients in the treatment group were treated with traditional Chinese medicine combined with gestrinone. The curative effect was evaluated after 6 months of treatment. The recurrence was evaluated after 3 years of follow-up. Results: The effective rate of clinical treatment in the treatment group was 96.7%, which was significantly higher than that in the control group (70.0%). Both groups were followed up for 3 years with a follow-up rate of 100%. At the end of the follow-up period, the recurrence rate was 6.7% The recurrence rate was 40.0% in the treatment group, and the recurrence rate in the treatment group was significantly lower than that in the control group (P <0.05). Conclusion: The combination of Chinese and Western medicine can effectively inhibit the recurrence of OEMA after long-term curative effect is obvious, it is worth popularizing and clinical application.