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目的:对子宫内膜异位症合并不孕患者腹腔镜术后药物治疗的妊娠结局分析。方法:选择我院收治的子宫内膜异位症合并不孕患者64例,随机分为两组,均采用腹腔镜手术治疗,在此基础上,对照组于术后根据基础体温或卵泡监测指导易孕期(期待治疗组),实验组术后给予药物治疗(药物治疗组),回顾性分析与比较两组患者的妊娠结局。结果:两组在术后获得1~2年的随访,实验组妊娠率、活产率明显高于对照组,且实验组复发率低于对照组,组间差异比较具有统计学意义(P<0.05)。结论:子宫内异位症合并不孕患者在腹腔镜手术治疗后联合应用孕三烯酮或避孕药等药物治疗,可提高妊娠率与活产率,降低复发率,值得临床推广。
Objective: To analyze the pregnancy outcome of laparoscopic drug treatment for patients with endometriosis complicated with infertility. Methods: Sixty-four cases of endometriosis complicated with infertility admitted to our hospital were randomly divided into two groups, all of which were treated by laparoscopic surgery. On the basis of this, the control group was guided by basal body temperature or follicular monitoring Pregnancy (expectant treatment group), experimental group after giving medication (drug treatment group), retrospective analysis and comparison of two groups of patients with pregnancy outcome. Results: The two groups were followed up for 1 to 2 years after operation. The pregnancy rate and live birth rate in the experimental group were significantly higher than those in the control group, and the relapse rate in the experimental group was lower than that in the control group. The differences between the two groups were statistically significant (P < 0.05). Conclusion: In patients with endometriosis complicated with infertility, combined with gestrinone or contraceptives after laparoscopic surgery can improve the pregnancy rate and live birth rate and reduce the recurrence rate, which deserves clinical promotion.