SichuanJournalofAnatomy2023,31(1):24-26著四川解剖学杂志丙氨瑞林联合腹腔镜手术治疗子宫内膜异位症的临床研究刘丽娜，陈洁，姚远郑州市金水区总医院妇科，郑州450003【摘要】目的：探讨子宫内膜异位症（EMT）采用丙氨瑞林联合腹腔镜手术治疗的临床效果。方法：选取2019年1月至2020年1月就诊于本院的EMT患者160例为研究对象。按照，随机数字表法将患者分为观察组（n=80）和对照组（n=80)。观察组在腹腔镜手术治疗基础上联合丙氨瑞林治疗，对照组仅给予腹腔镜手术治疗。比较两组治疗后临床疗效，治疗前、治疗3个月后月经量［失血量评估图（PBAC）评分]及随访1年期内的复发率。结果：观察组总有效率高于对照组，差异有统计学意义（P<0.05）；治疗前，两组EMT患者PBAC评分比较，差异无统计学意义（P>0.05);治疗3个月后,观察组PBAC评分低于对照组,差异有统计学意义（P<0.05);观察组随访1年内复发率低于对照组，差异有统计学意义（P<0.05）。结论：丙氨瑞林联合腹腔镜手术治疗EMT可改善患者的月经量，且复发率低。【关键词】子宫内膜异位症；腹腔镜手术；丙氨瑞林；复发率D0I:10.3969/j.issn.1005-1457.2023.01.008ClinicalStudyofAlarelinCombinedwithLaparoscopicSurgeryintheTreatmentofEndometriosisLIULi-na,CHENJie,YAOYuanDepartmentofGynecology,ZhengzhouCityJinshuiDistrictGeneralHospital,Zhengzhou450003,ChinaCorrespondence:LIULi-na,e-Mail:lln151371059932@163.com[Abstract]Objective:Toinvestigatetheclinicaleffectofalarelincombinedwithlaparoscopicsurgeryinthetreatmentofendometriosis(EMT).Methods:Atotalof160patientswithEMTinourhospitalfromJanuary2019toJanuary2020wereselectedasthestudysubjects.Arandomnumbertablemethodwasusedtodividethemintotheobservationgroup(n=80)andthecontrolgroup(n=80).Theobservationgroupwastreatedwithlaparoscopicsurgeryandalarelin,andthecontrolgroupwastreatedwithlaparoscopicsurgery.Theclinicalefficacyofthetwogroupsafter3monthsoftreatment,themenstrualvolume[pictorialbloodlossassessmentchart(PBAC)score]beforeandafter3monthsoftreatment,andtherecurrencerateduringthefollow-upperiodof1yearwerecompared.Results:Thetotaleffectiverateoftheobservationgroupwassignificantlyhigherthanthatofthecontrolgroup,withastatisticalsignificantdifference(P<0.05).B...
