腹腔镜手术联合中药治疗卵巢型子宫内膜异位症的疗效观察

发布时间：2018-04-19 11:36

本文选题：卵巢型子宫内膜异位症 + 腹腔镜手术　；参考：《河南中医学院》2014年硕士论文

【摘要】：目的：本研究通过观察经腹腔镜下卵巢子宫内膜异位囊肿剥除手术后的患者，分别采用GnRH-a、中药治疗的临床疗效，复发率及妊娠率，探讨中医药治疗本病的临床价值。方法：2012年2月至2013年2月在河南中医学院第一附属医院妇产科行腹腔镜下卵巢子宫内膜异位囊肿剥除手术，术后病理确定符合卵巢子宫内膜异位症的有生育要求的患者60例。随机分为治疗组（中药治疗）及对照组（GnRH-a治疗）。所有患者随访12个月。观察两组患者治疗后临床疗效、术后1年内妊娠情况及复发情况。结果：治疗后两组总有效率，治疗组86.7%，对照组73.3%。两组比较，P0.05，差异有统计学意义，术后中药治疗临床疗效优于GnRH-a治疗组；两组均可改善患者的痛经、慢性盆腔痛及性交痛症状，各组治疗前后比较，P0.05，差异有统计学意义，，组间比较，P0.05，差异无统计学意义；术后1年内治疗组妊娠率83.3%，对照组56.7%，两组比较，P0.05，差异显著，治疗组优于对照组。并且术后妊娠率随临床期别加重而降低；复发率：术后1年内复发率，治疗组与对照组比较，P0.05，差异有统计学意义，治疗组优于对照组。结论：腹腔镜手术联合中药治疗有生育要求的卵巢型子宫内膜异位症患者，临床疗效优于对照组，可有效改善痛经、慢性盆腔痛及性交痛等症状，与对照组无明显差异。但在提高术后1年内的妊娠率，延长复发时间，降低复发率方面明显优于对照组，具有明显的远期疗效。
[Abstract]:Objective: to observe the clinical effect, recurrence rate and pregnancy rate of GnRH-aand the clinical value of traditional Chinese medicine (TCM) in the treatment of ovarian endometriosis cysts after laparoscopic excision.Methods: from February 2012 to February 2013, 60 patients with ovarian endometriosis were treated by laparoscopic excision of endometriosis in gynecology and obstetrics department of the first affiliated Hospital of Henan College of traditional Chinese Medicine.They were randomly divided into treatment group (Chinese medicine treatment) and control group (GnRH-a treatment group).All patients were followed up for 12 months.To observe the clinical effect, pregnancy and recurrence of the two groups after treatment.Results: the total effective rate was 86.7 in the treatment group and 73.3 in the control group.The difference between the two groups was statistically significant, the clinical efficacy of traditional Chinese medicine was better than that of GnRH-a group, the symptoms of dysmenorrhea, chronic pelvic pain and coitus pain were improved in both groups, and the difference was statistically significant before and after treatment.The pregnancy rate of the treatment group was 83.3%, and that of the control group was 56.7%. The difference between the two groups was significant (P 0.05), and the treatment group was superior to the control group.The recurrence rate of the treatment group was significantly higher than that of the control group, and the recurrence rate of the treatment group was better than that of the control group.Conclusion:Laparoscopic surgery combined with traditional Chinese medicine in the treatment of ovarian endometriosis with fertility requirements, the clinical efficacy is better than the control group, can effectively improve dysmenorrhea, chronic pelvic pain and intercourse pain and other symptoms, there is no significant difference between the control group and the control group.But it is superior to the control group in increasing pregnancy rate, prolonging recurrence time and reducing recurrence rate in one year after operation, and has obvious long-term curative effect.
【学位授予单位】：河南中医学院
【学位级别】：硕士
【学位授予年份】：2014
【分类号】：R711.71

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