中西医结合治疗卵巢子宫内膜异位囊肿96例临床观察

发布时间：2018-12-06 11:10

【摘要】： 目的:探讨中药配合应用聚维酮碘液介入治疗卵巢子宫内膜异位囊肿的临床疗效。 方法:将在我院行超声引导下穿刺术的96例卵巢子宫内膜异位囊肿的患者分成两组,治疗组52例,每位患者术后口服自拟中药汤剂。对照组44例单纯用聚维酮碘液穿刺治疗,观察两组治疗后的临床疗效及复发率。 结果:术后治疗组治愈36例占69.2 % (36/ 52 ) ;有效13例占25 %(13/ 52) ;无效3例占5.8 % (3/ 52) ,总有效率为94.2 %。对照组治愈28例占63.6 % (28/ 44 ) ;有效12例占27.3%(12/ 44) ;无效4例占9.10 % (4/ 44) ,总有效率为90.9 %。全部病例随访12个月,治疗组复发4例,复发率为8.2%(4/ 49);对照组复发5例,复发率为12.5%(5/40),复发时间为术后1～8个月。两组的总有效率及复发率分别经χ2检验进行比较,P 0.05,两组疗效相同。但对于主要临床症状中月经不调、小腹胀痛、性交痛的治愈率,治疗组明显高于对照组(P0.05),这对改善患者的生活质量起了重要作用。 结论:应用聚维酮碘液介入治疗卵巢子宫内膜异位囊肿是一种高效、可靠、安全和经济的方法,对不孕的妇女更为适用,尤其术后配合口服中药的中西医结合的治疗方法对改善生活质量更为优越。
[Abstract]:Objective: to investigate the clinical effect of traditional Chinese medicine (TCM) combined with povidone iodide on ovarian endometriosis cysts. Methods: 96 cases of ovarian endometriosis cysts were divided into two groups, 52 cases in treatment group. 44 cases in the control group were treated with povidone iodine solution. The clinical effect and recurrence rate of the two groups were observed. Results: in the treatment group, 36 cases were cured (69.2%), 13 cases were effective (25%), 3 cases were ineffective (5.8% (3 / 52), the total effective rate was 94.2%. In the control group, 28 cases were cured (63.6%), 12 cases were effective (27.3%), 4 cases were ineffective (9.10% (4 / 44), the total effective rate was 90.9%. All cases were followed up for 12 months. The recurrence rate was 8.2% (4 / 49) in the treatment group and 12.5% (5 / 40) in the control group. The total effective rate and recurrence rate of the two groups were compared by 蠂 2 test (P 0.05). The curative effect of the two groups was the same. But for the main clinical symptoms of menstruation, abdominal pain, sexual intercourse pain cure rate, the treatment group was significantly higher than the control group (P0.05), which played an important role in improving the quality of life of patients. Conclusion: povidone iodine solution is an effective, reliable, safe and economical method for the treatment of ovarian endometriosis cysts, especially for infertile women. Especially, the combination of traditional Chinese medicine and western medicine can improve the quality of life.
【学位授予单位】：辽宁中医药大学
【学位级别】：硕士
【学位授予年份】：2010
【分类号】：R711.71

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