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目的:对卵巢型子宫内膜异位症患者术后相关治疗、妊娠及复发等情况进行随访分析,探索子宫内膜异位症复发相关因素。方法:随诊卵巢型子宫内膜异位症术后的病案135例,收集相关临床资料综合分析,并电话随访。结果:手术后5年累积复发率为15.3%,其中保守性占76.4%、半根治性23.6%、根治性手术占0%;术后中医药和激素类药物治疗复发率分别为16.7%和33.3%。结论:保守性手术复发率较高,中医药治疗有助于降低临床复发率。
OBJECTIVE: To follow-up analysis of post-operative treatment, pregnancy and recurrence in patients with ovarian endometriosis and explore the related factors of recurrence of endometriosis. Methods: Follow-up of 135 cases of ovarian endometriosis after surgery, collected a comprehensive analysis of relevant clinical data, and telephone follow-up. Results: The cumulative recurrence rate was 15.3% 5 years after surgery, of which 76.4% were conservative, 23.6% semi-radical and 0% radical. Postoperative recurrence rates of Chinese medicine and hormone therapy were 16.7% and 33.3 %. Conclusion: The recurrence rate of conservative surgery is higher, and the treatment of traditional Chinese medicine can help to reduce the clinical recurrence rate.