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目的:观察腹腔镜病灶切除术联合米非司酮治疗子宫腺肌瘤的临床疗效。方法:选取26例子宫腺肌瘤患者行腹腔镜病灶切除术,术后予米非司酮治疗3个月。结果:26例患者治疗后痛经缓解率为100%,月经量较术前明显减少(P<0.01),月经周期和经期无明显改变(P>0.05),肝功能均无明显变化,亦无潮热、多汗、阴道干燥、性欲下降等低雌激素症状,无复发。结论:腹腔镜病灶切除术联合米非司酮治疗子宫腺肌瘤能有效缓解痛经、经血过多等症状,保留了患者的生育器官,是一种有效、微创、安全、经济的治疗方法。
Objective: To observe the clinical efficacy of laparoscopic resection combined with mifepristone in the treatment of adenomyosis. Methods: Twenty-six cases of adenomyosis were treated by laparoscopic resection and treated with mifepristone for 3 months. Results: The pain relief rate was 100% in 26 patients after treatment, the amount of menstruation was significantly decreased (P <0.01), the menstrual cycle and menstrual period were not significantly changed (P> 0.05) Heat, sweating, vaginal dryness, decreased libido and other low estrogen symptoms, no recurrence. Conclusions: Laparoscopic resection combined with mifepristone in the treatment of adenomyosis can effectively relieve symptoms such as dysmenorrhea and menorrhagia and preserve the reproductive organs of patients. It is an effective, minimally invasive, safe and economical treatment.