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目的：观察不同药物用于子宫内膜异位症患者腹腔镜术后的综合疗效。方法选取子宫内膜异位症患者75例，按照随机数字表法分为对照组（25例）、米非司酮组（25例）和孕三烯酮组（25例），对所有子宫内膜异位症患者均采用腹腔镜术治疗，对照组患者术后不服用药物，米非司酮组患者在术后加服米非司酮治疗，孕三烯酮组患者在术后加服孕三烯酮治疗。所有患者连续服用6个月后，观察三组患者治疗疗效、妊娠率以及不良反应。结果与对照组的总有效率76．0％比较，米非司酮组为96．0％，差异有统计学意义（χ2＝4．15，P ＜0．05），孕三烯酮组为92．0％，差异有统计学意义（χ2＝2．38，P ＜0．05）；两组不良反应发生率比较，米非司酮组12．0％，明显低于孕三烯酮组的36．0％，差异有统计学意义（χ2＝8．39，P ＜0．05）；所有患者中合并不孕症患者共计17例，经过治疗后共发生妊娠8例，其中米非司酮组患者的累积妊娠率66．7％，明显高于孕三烯酮组的20．0％，差异有统计学意义（χ2＝4．15，P ＜0．05）。结论单纯使用腹腔镜术治疗子宫内膜异位症患者的效果不太理想，但术后通过服用米非司酮或孕三烯酮能够明显提高治疗有效率，降低复发率，同时能够增加妊娠率和降低患者的不良反应发生率，是一种安全高效的治疗方案，值得推广于临床治疗中。

Objective To observe the comprehensive effect of different drugs for ectopic endometrium after laparoscopic surgery.Methods According to random number,75 intrauterine membrane patients with endometriosis treated by laparoscopy were divided into control group(25 cases),mifepristone group(25 cases)and gestrinone group (25 cases).The patients of the control group were not taken medication,the patients of mifepristone group in postop-erative clothing were treated with mifepristone,the patients of gestrinone groups in postoperative plus gestrinone treat-ment.All of the patients were taken 6 months treatment,therapy,pregnancy rates,and adverse reactions of three groups were observed.Results The total effective rate of the control group was 76.0%,which of the mifepristone group was 96.0%,the difference between the two groups was statistically significant (χ2 =4.15,P <0.05),which of the gestri-none group was 92.0%,and the difference between the two groups was statistically significant(χ2 =2.38,P <0.05). The incidence rate of side effects in mifepristone group was 12.0%,which was lower than 36.0% of gestrinone group,the difference was statistically significant (χ2 =8.39,P <0.05 ).The patients combined infertility were 17 cases,after the treatment for pregnancy 8 cases,the cumulative pregnancy rate of mifepristone group was 66.7%, which was higher than 20.0% of gestrinone group,and the difference was significant (χ2 =4.15,P <0.05).Conclusion Simple using abdominal mirror operation treatment uterine within film different bit syndrome patients of effect not too ideal,but operation through taking meters non -division ketone or pregnancy three ketone can obviously improve treat-ment has efficiency,reduced recurrence rate,while can increased pregnancy rate and reduced patients of bad reaction occurred rate,is a security efficient of treatment programme,worth promotion in the clinical treatment.