首页|GnRHa联合腹腔镜手术治疗卵巢巧克力囊肿患者的疗效

GnRHa联合腹腔镜手术治疗卵巢巧克力囊肿患者的疗效

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目的 探究促性腺激素释放激素激动剂(GnRHa)联合腹腔镜手术治疗卵巢巧克力囊肿患者的临床疗效.方法 选取本院60例卵巢巧克力囊肿患者为研究对象按照随机数字表法分为两组,各30例.对照组实施常规手术方式.观察组实施GnRHa联合腹腔镜手术.比较两组总有效率、卵巢功能指标变化情况、痛经缓解率.结果 观察组治疗总有效率为96.67%,高于对照组的66.67%,差异有统计学意义(P<0.05).术后1个月,观察组孕酮、雌二醇、卵泡刺激素、促黄体生成素指标优于对照组,差异有统计学意义(P<0.05).观察组痛经缓解率为93.33%,高于对照组的70%,差异有统计学意义(P<0.05).结论 采用GnRHa联合腹腔镜手术治疗卵巢巧克力囊肿疗效显著,可以改善患者激素水平,还可以缓解痛经,值得在临床中推广与运用.
The efficacy of GnRHa combined with laparoscopic surgery in the treatment of ovarian chocolate cyst patients
Objective To explore the clinical efficacy of gonadotropin-releasing hormone agonist(GnRHa)combined with laparoscopic surgery in the treatment of ovarian chocolate cyst patients.Methods 60 patients with ovarian chocolate cysts in our hospital were selected as the research subjects and randomly divided into two groups using a random number table method,with 30 cases in each group.The control group underwent routine surgical procedures.The observation group underwent GnRHa combined with laparoscopic surgery.Compare the total effective rate,changes in ovarian function indicators,and relief rate of dysmenorrhea between two groups.Results The total effective rate of the observation group was 96.67%,which was higher than the control group's 66.67%,and the difference was statistically significant(P<0.05).One month after surgery,the indicators of progesterone,estradiol,follicle stimulating hormone,and luteinizing hormone in the observation group were better than those in the control group,and the differences were statistically significant(P<0.05).The relief rate of dysmenorrhea in the observation group was 93.33%,which was higher than 70%in the control group,and the difference was statistically significant(P<0.05).Conclusion The use of GnRHa combined with laparoscopic surgery for ovarian chocolate cysts has a significant therapeutic effect,can improve patient hormone levels,and can also alleviate menstrual pain.It is worth promoting and applying in clinical practice.

GnRHaLaparoscopic surgeryChocolate cyst of ovary

蒋嫒

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江苏省盐城市第三人民医院 妇产科,江苏 盐城 224000

GnRHa 腹腔镜手术 卵巢巧克力囊肿

2024

实用妇科内分泌电子杂志

实用妇科内分泌电子杂志

ISSN:
年,卷(期):2024.11(15)