养膜调经汤联合经宫腔镜宫腔粘连分离术治疗中-重度宫腔粘连的临床观察

发布时间：2018-03-26 06:10

本文选题：养膜调经汤　切入点：宫腔粘连　出处：《辽宁中医杂志》2017年06期

【摘要】：目的:研究养膜调经汤在中-重度宫腔粘连治疗中的应用价值。方法:60例中-重度宫腔粘连病患采取经宫腔镜宫腔粘连分离术,放置宫内避孕环,术后随机分成两组,30例对照组接受雌孕激素人工周期治疗,30例治疗组联合养膜调经汤治疗。结果:两组患者治疗后IUA评分、子宫内膜厚度较治疗前有显著性差异(P0.05);与对照组比较,治疗组在增加月经量、增加子宫内膜厚度、降低宫腔粘连评分方面有显著性差异(分别P=0.036,P=0.049,P=0.046),但术后两组妊娠率无显著性差异。结论:联合养膜调经汤治疗更有利于促进子宫内膜的生长,增多月经量,预防宫腔再粘连,一定程度上促进妊娠,综合疗效优于单纯雌孕激素人工周期。
[Abstract]:Objective: to study the value of Yangmen Tiaojing decoction in the treatment of moderate to severe intrauterine adhesions. Methods: 60 patients with moderate to severe intrauterine adhesions were treated with hysteroscopic intrauterine adhesions and placed intrauterine contraceptive rings. After operation, 30 patients in the control group were randomly divided into two groups. 30 patients in the treatment group were treated with estrogen and progesterone artificial cycle therapy combined with Yangmen Tiaojing decoction. Results: the IUA scores of the two groups were evaluated after treatment. Compared with the control group, the endometrial thickness in the treatment group increased the menstrual volume and the endometrial thickness. There was significant difference in reducing the score of intrauterine adhesion (P < 0.036), but there was no significant difference in pregnancy rate between the two groups after operation. Conclusion: the combination of Yangmen Tiaojing decoction can promote the growth of endometrium, increase the amount of menstruation and prevent the recurrence of uterine cavity. Promote pregnancy to some extent, comprehensive curative effect is superior to pure estrogen and progesterone artificial cycle.
【作者单位】：南京中医药大学无锡附属医院;
【基金】：2014年度无锡市卫生局科研立项项目(Q201411)
【分类号】：R713

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