补肾活血法治疗复发性卵巢子宫内膜异位囊肿30例临床观察  

Clinical Observation on 30 Cases of Relapsed Endometrial Cyst of Ovary Treated by Reinforcing Kidney and Activating Blood Circulation

作　　者：周华[1] 齐聪[1] 

机构地区：[1]上海中医药大学附属曙光医院妇科

出　　处：《中医杂志》2008年第7期618-621,共4页Journal of Traditional Chinese Medicine

摘　　要：目的观察补肾活血法治疗复发性卵巢子宫内膜异位囊肿的临床疗效。方法60例卵巢子宫内膜异位囊肿术后复发的患者,随机分为中药消瘤方组(治疗组)、西药达菲林组(对照组)各30例,连续用药6个月。观察两组患者临床症状、体征的改善情况、囊肿的大小、血清T淋巴细胞亚群水平及复发率、副反应的发生率。结果两组均可明显缓解患者的临床症状、体征和缩小囊肿,总有效率分别为86.67%和80.00%,治疗组对CD3、CD4/CD8比值及NK细胞水平的改善程度优于对照组,并且复发率和副反应的发生率低于对照组(P<0.05)。结论补肾活血法可明显缓解临床症状、缩小囊肿及改善患者的细胞免疫功能,并且具有复发率低及副作用小的优点,是复发性卵巢子宫内膜异位囊肿的有效方法之一。Objective To observe the clinical effect of reinforcing kidney and activating blood circulation on the relapsed endometrial cyst of ovary （EMCO）. Methods The 60 cases involved were randomized into Chinese medicine Xiaoliu Fang （Dissolving mass） treatment group and western medicine Diphereline control group with 30 in each. Both groups were medicated for 6 months to observe the changes of symptoms and signs, size of cyst, level of serum T lymphocyte subsets, relapse and secondary reactions. Results in both groups, the symptoms and signs were remarkably relieved and size of cysts reduced with a total effective rate 86.67% and 80. 00% respectively. Of the treatment group, the improvement of CD3, CD4/CD8 and NK cells was superior to that of control group, and the relapse and secondary reactions were less than those of control group （P〈0.05）. Conclusion The treating method of reinforcing kidney and activating blood circulation can significantly relieve the clinical symptoms, reduce the size of cysts, and improve the cell immune function of patients and is one of the effective treatments for endometriosis for its advantage in low relapse and less secondary reactions.

关 键 词：补肾活血法 复发性 卵巢 子宫内膜异位囊肿 消瘤方 

分 类 号：R271.9[医药卫生—中西医结合]