亮丙瑞林微球蛋白联合腹腔镜手术对子宫内膜异位症的疗效及预后影响
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河北省卫生厅医学科学研究重点课题(20160726);华北理工大学科研基金项目(Z201532)


Effects of hormone levels and prognosis of leuprolide microglobulin combined with laparoscopy on endometriosis
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    【摘要】 目的 探索亮丙瑞林微球蛋白联合腹腔镜手术对子宫内膜异位症的疗效、激素水平及预后影响。方法 将2014年1月~2015年12月收治的子宫内膜异位症患者104例分为亮丙瑞林微球蛋白联合腹腔镜(联合组)54例及单纯腹腔镜(对照组)50例,观察两组患者治疗前后激素水平和治疗有效率。结果 联合组治疗总体有效率高达8333%,显著高于对照组(P<005),治疗后,联合组的FSH及LH水平分别降为(39±18)U/L、(87±11)U/L,明显低于对照组(P<005);联合组在治疗后成功妊娠有3448%、复发的仅占1400%,显著优于对照组预后情况(P﹤005);两组发生不良反应率无明显差异(P>005),且在停药后可恢复。结论 亮丙瑞林微球蛋白联合腹腔镜治疗子宫内膜异位症可显著提高疗效,反馈性抑制FSH及LH水平,改善临床预后,可推广应用。

    Abstract:

    【Abstract】 Objective To explore effects, hormone levels and prognosis of leuprolide microglobulin combined with laparoscopy on endometriosis.Methods 104 patients with endometriosis treated in our hospital from January 2014 to December 2015 were divided into leuprolide microinjection combined with laparoscopic group (54 cases) and laparoscopic group alone (control group Group, 50 cases). Results The total effective rate of combination group was 8333%, which was significantly higher than that of the control group (P<005). After treatment, the levels of FSH and LH in the combined group were reduced to (39 ± 18) U / L and (87 ± 11) U / L, which were significantly lower than that of the control group (P<005). 3448% of the patients in the combined group were successful and 1400% of them were relapsed after treatment, which was significantly better than that of the control group (P<005). The incidence of adverse reactions was similar between the two groups (P> 005), and can be restored after withdrawal or rest. Conclusion Leuprolide microglobulin combined with laparoscopic treatment of endometriosis can significantly improve the efficacy and feedback inhibition of FSH and LH levels as well as clinical outcomes.

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  • 在线发布日期: 2017-06-20
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