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分析 148例子宫内膜异位症的手术疗效 ,探讨可能影响疗效的因素 ,并观察血浆CA12 5水平与疾病的关系。结果 :术后 17例复发 ,Ⅱ期手术疗效显著好于Ⅲ、Ⅳ期 (P <0 .0 5 )。术后预防性用药 ,米非司酮和三苯氧胺优于己酸孕酮 (P <0 .0 5 )。血浆CA12 5水平大多数患者升高 (98.2 7± 96 .92u/ml) ,尤其是Ⅲ、Ⅳ期患者升高明显(P <0 .0 1) ,与AFS分期呈正相关 (r =0 .82 6 ,P <0 .0 5 )。表明结合B超、CA12 5测定、腹腔镜检查及预防性用药等措施 ,手术治疗可取得满意的结果
Analysis of 148 cases of endometriosis surgery efficacy, to explore the factors that may affect the efficacy, and to observe the plasma CA12 5 levels and disease. Results: Seventeen patients relapsed after surgery and the effect of stage Ⅱ operation was significantly better than that of stage Ⅲ and Ⅳ (P <0.05). Postoperative prophylaxis was better with mifepristone and tamoxifen than with caproate (P <0.05). The level of plasma CA12 5 was elevated in the majority of patients (98.2 7 ± 96.92 u / ml), especially in patients with stage Ⅲ and Ⅳ (P <0.01), which was positively correlated with the stage of AFS (r = 0.82 6, P <0. 05). Show that combined with B ultrasound, CA12 5 determination, laparoscopy and prophylactic medication and other measures, surgical treatment can be satisfactory results