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目的比较手术与手术联合药物治疗腹壁子宫内膜异位症的临床疗效。方法选取2012年5月一2013年12月苏州市吴中人民医院收治的腹壁子宫内膜异位症患者72例,将其随机分为两组:手术组(n=36)采用常规手术进行治疗,手术+药物组(n=36)即是在手术组的基础上添加药物治疗。比较两组患者的临床疗效,治疗前后抽取腹腔积液和血清,测定其癌抗原-125(CA125)水平。结果手术+药物组患者的总有效率为97.2%,高于手术组的77.7%(P<0.05);两组患者治疗前腹腔积液及血清CA125比较,差异无统计学意义(P>0.05);两组治疗后腹腔积液和血清CA125比较,差异有统计学意义(P<0.05)。结论在手术切除的基础上添加药物治疗腹壁子宫内膜异位症的临床疗效好,且显著优于单一的手术治疗。
Objective To compare the clinical efficacy of surgery and surgery in the treatment of abdominal wall endometriosis. Methods Seventy-two patients with abdominal wall endometriosis admitted to Wuzhong People’s Hospital of Suzhou from May 2012 to December 2013 were randomly divided into two groups: operation group (n = 36) was treated by conventional operation , Surgical + drug group (n = 36) that is based on the surgical group to add drug treatment. The clinical efficacy of the two groups was compared. The ascites and serum were collected before and after treatment. The level of CA125 was measured. Results The total effective rate of operation + drug group was 97.2%, which was higher than that of operation group (77.7%) (P <0.05). There was no significant difference between the two groups before treatment of ascites and serum CA125 (P> 0.05) There was significant difference between the two groups in the treatment of ascites and serum CA125 (P <0.05). Conclusions The surgical treatment of abdominal wall endometriosis based on the addition of drugs has good clinical curative effect and is superior to single surgical treatment.