子宫疤痕憩室及其症状与中医体质的相关性探讨  

Correlation of Occurrence of Uterine Scar Diverticulum and Its Symptoms with Traditional Chinese Medicine Constitution

作　　者：伍庭凤 宗利丽[1] 刘玉洁[1] 田媛媛[1] 刘凌子 李舒婷 汪碧云 WU Ting-Feng;ZONG Li-Li;LIU Yu-Jie;TIAN Yuan-Yuan;LIU Ling-Zi;LI Shu-Ting;WANG Bi-Yun(The First Affiliated Hospital , Guangzhou University of Chinese Medicine, Guangzhou 510405 Guangdong, China)

机构地区：[1]广州中医药大学第一附属医院,广东广州510405

出　　处：《广州中医药大学学报》2019年第5期630-635,共6页Journal of Guangzhou University of Traditional Chinese Medicine

摘　　要：【目的】探讨子宫疤痕憩室的形成及经期延长、慢性盆腔痛等症状的出现与中医体质的相关性。【方法】对2016年9月至2018年6月在广州中医药大学第一附属医院妇科门诊就诊的160例子宫疤痕憩室患者进行问卷调查,参考中医体质分类与判定调查表对子宫疤痕憩室患者进行中医体质分类,观察不同中医体质类型患者经期延长、慢性盆腔痛等症状及剩余肌层最薄处厚度情况。【结果】(1)本研究共发放调查问卷160份,回收160份,有效调查问卷回收率为100%。(2)气虚质、气郁质、阳虚质为子宫疤痕憩室患者常见的体质类型,分别占35.62%、22.50%和18.12%,其他依次为湿热质、阴虚质、血瘀质、痰湿质、平和质。(3)出现经期延长、剩余肌层最薄处厚度≤2.5 mm的患者中以气虚质、气郁质、阳虚质为多见,出现慢性盆腔痛的患者中以气虚质和湿热质为多见,各体质类型间比较,差异均有统计学意义(P<0.05)。(4)Logistic回归分析结果表明:子宫疤痕憩室患者出现剖宫产后经期延长与剩余肌层最薄处厚度、憩室容积相关(均P<0.01),且剩余肌层最薄处越薄,憩室容积越大,经期延长时间越长。【结论】气虚质、气郁质、阳虚质为子宫疤痕憩室患者常见的体质类型,经期延长、慢性盆腔痛等症状的出现情况及剩余肌层最薄处厚度与体质类型有关。Objective To explore the correlation of the occurrence of uterine scar diverticulum and the symptoms ofprolonged menstruation as well as chronic pelvic pain with traditional Chinese medicine(TCM)constitution.Methods A questionnaire investigation was carried out in 160 cases of uterine scar diverticulum admitted in theoutpatients department of the First Affiliated Hospital of Guangzhou University of Chinese Medicine fromSeptember of 2016 to June of 2018. The physical constitution of the patients with uterine scar diverticulum wasclassified by using the TCM constitution classification and assessment questionnaire scale. And the clinicalsymptoms of prolonged menstruation and chronic pelvic pain as well as the thickness of the thinnest remainedmyometrium in the patients with various constitution types were investigated. Results(1) A total of 160 questionnaires were issued and then were returned, the response rate being 100%.(2) The uterine scardiverticulum patients were dominated by the constitution types of Qi deficiency,Qi stagnation,and Yang deficiency,accounting for 35.62%,22.50%,18.12% respectively. And constitution types of damp heat,Yin deficiency,blood stasis,phlegm dampness,harmony were also seen in a decreasing sequence.(3)Patients with prolongedmenstruation and ≤2.5 mm thickness of the thinnest remained myometrium were dominated by the constitutiontypes of Qi deficiency,Qi stagnation,and Yang deficiency;patients with chronic pelvic pain were dominated bythe constitution types of Qi deficiency and damp heat. The differences among various constitution types weresignificant(P<0.05).(4)The results of Logistic regression analysis showed that prolonged menstruation in uterinescar diverticulum patients was positively correlated with the thickness of the thinnest remained myometrium and thevolume of the diverticulum(P<0.01),the menstruation being prolonged with the decrease of the thickness of thethinnest remained myometrium and with the increase of the volume of the diverticulum. Conclusion Theconstitution type

关 键 词：子宫疤痕憩室 中医体质 经期延长 慢性盆腔痛 剩余肌层最薄处 

分 类 号：R271.9[医药卫生—中西医结合]