腹腔镜术后联合蠲痛饮治疗子宫内膜异位症的临床研究  

Clinical Study of JUANTONG DECOCTION in treatment of endometriosis after laparoscopic surgery

作　　者：卢笛[1] 林艳明[2] 梁月秀[1] 陈升才[1] 金明杨[1] 

机构地区：[1]右江民族医学院附属医院,广西百色533000 [2]右江民族医学院,广西百色533000

出　　处：《右江民族医学院学报》2017年第6期485-487,490,共4页Journal of Youjiang Medical University for Nationalities

基　　金：广西百色市科技计划项目(20140945)

摘　　要：目的观察蠲痛饮治疗子宫内膜异位症术后的临床疗效。方法选择2016年1月~12月于右江民族医学院附属医院诊治的子宫内膜异位症术后患者60例,随机分为治疗组和对照组,治疗组口服蠲痛饮,每日100ml,分两次服,对照组给予曲普瑞林肌肉注射,每次3.75mg,每4周1次,比较两组临床疗效、随访1年后观察复发率及妊娠情况。结果治疗3个月后,治疗组临床总有效率为83.33%,对照组为90.00%,两组比较差异无统计学意义(P>0.05)。治疗组痛经复发为12例,腹痛9例,盆腔包块4例;对照组痛经复发为10例,腹痛8例,盆腔包块3例,两组比较差异无统计学意义(P>0.05)。术后7~12个月内,治疗组总妊娠率为26.67%,对照组总妊娠率为6.67%,两组比较差异有统计学意义(P<0.05)。两组不良反应发生率比较差异无统计学意义(P>0.05)。结论蠲痛饮治疗子宫内膜异位症术后明显提高妊娠率,且未出现严重不良反应,值得临床推广。Objective To observe the clinical curative effects of JUANTONG DECOCTION in the treatment of postoperative endometriosis. Methods Sixty patients with endometriosis cared at Affiliated Hospital of Youjiang Medical University for Nationalities from January to December 2016 were selected as the research objects and were randomly divided into a treatment group and a control group.Patients of the treatment group were given oral JUANTONG DECOCTION 50 ml,twice a day.The control group was given intramuscular injection with Triptorelin 3.75 mg,once every four weeks.Clinical curative effects were compared between the two groups. Results After 3 months of treatment,the total effective rate was 83.33%in the treatment group and 90.00%in the control group,comparison of the results between the two groups showed that there was no statistically significant difference（P〈0.05）.The treatment group had 12 cases of dysmenorrhea recurrence,9 cases of abdominal pain,4 cases of pelvic mass;and the control group had 10 cases of dysmenorrhea recurrence,8 cases of abdominal pain,3 cases of pelvic mass,comparison of the recurrences between the two groups yielded that there were no statistically significant differences（P〈0.05）.Within 7~12 months after operation,the total pregnancy rate of the treatment group was 26.67%,and the total pregnancy rate was 6.67%,compared the pregnancy rate between the two group showed that there was a statistically significant difference（P〈0.05）.There was no statistically significant difference by comparing the side effect rate of the treatment group with that of the control group（P〈0.05）. Conclusion JUANTONG DECOCTION in the treatment of endometriosis after surgery can significantly improve the pregnancy rate,moreover,no serious adverse reactions occur,which is worthy of clinical promotion.

关 键 词：子宫内膜异位症 蠲痛饮 腹腔镜 曲普瑞林 

分 类 号：R711.71[医药卫生—妇产科学]