归芎消异方对卵巢子宫内膜异位症患者术后复发及妊娠情况的影响

发布时间：2019-03-28 16:09

【摘要】：目的观察归芎消异方对卵巢子宫内膜异位囊肿患者保守性手术后复发及妊娠情况的影响。方法采用前瞻性非随机对照研究方法,将116例卵巢子宫内膜异位囊肿术后患者分为治疗组(51例)和对照组(65例)。治疗组采用归芎消异方口服治疗,对照组采用达菲林肌肉注射治疗,疗程为3~6个月。采用电话及门诊随访的方式随访至术后2年。比较两组患者的术后复发及妊娠情况。结果随访过程中,治疗组和对照组的复发率分别为9.8%和10.8%,平均复发时间分别为(9.60±5.16)个月和(10.57±2.94)个月,两组的复发情况比较差异无统计学意义。治疗组和对照组中有妊娠意愿者的妊娠成功率分别为70.3%和45.7%,两组比较差异有统计学意义(P0.05)。结论归芎消异方可能有防止卵巢子宫内膜异位囊肿患者术后的复发、提高患者的妊娠率的作用。
[Abstract]:Objective to observe the effect of Gui xiong Xiao Yi recipe on recurrence and pregnancy of patients with ovarian endometriosis cyst after conservative operation. Methods 116 patients with ovarian endometriosis were divided into two groups: treatment group (n = 51) and control group (n = 65). The treatment group was treated with Guanxiong Xiaoyi recipe orally, while the control group was treated with Dafelin intramuscular injection for 3 months and 6 months. The patients were followed up by telephone and out-patient follow-up for 2 years. Postoperative recurrence and pregnancy were compared between the two groups. Results the recurrence rate of treatment group and control group was 9.8% and 10.8% respectively, the average recurrence time was (9.60 卤5.16) months and (10.57 卤2.94) months, respectively. There was no significant difference in recurrence between the two groups. The pregnancy success rate of pregnant volunteers in treatment group and control group was 70.3% and 45.7%, respectively. There was significant difference between the two groups (P0.05). Conclusion Gui-xiong-Xiao-Yi recipe may prevent the recurrence of ovarian endometriosis cyst after operation and improve the pregnancy rate of the patients.
【作者单位】：复旦大学附属妇产科医院中西医结合科;上海市普陀区妇婴保健院妇产科;
【基金】：上海市科委中医重点项目(12401902200) 上海市中西医结合临床重大项目(培育项目,ZY3-LCPT-2-2001) 上海市中西医结合重点病种建设项目(zxbz2012-13)~~
【分类号】：R713

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