中西医结合配伍中药液灌肠治疗复发性卵巢子宫内膜异位囊肿的临床观察

Clinical observation of integrated traditional Chinese and western medicine compatible with physic liquor of traditional Chinese medicine clyster on relapsing ovary endometriotic cyst

目的观察中西医结合配伍中药液灌肠治疗复发性卵巢子宫内膜异位囊肿的临床疗效。方法将50例卵巢子宫内膜异位囊肿术后复发的患者,随机分为治疗组(予中西医结合(中药当归山甲桂枝方结合西药丹那唑)配伍中药液灌肠)和对照组(予当归山甲桂枝方结合西药丹那唑口服)各25例,连续用药6个月。观察2组临床症状的改善情况、体征和缩小囊肿的大小及复发率、不良反应的发生率。结果2组均可明显缓解患者的临床症状、体征和缩小囊肿,总有效率分别为91%和78%。治疗组复发率和不良反应的发生率均低于对照组(P均<0.05)。结论中西医结合配伍中药液保留灌肠治疗复发性卵巢子宫内膜异位囊肿可明显缓解临床症状,缩小囊肿及改善患者的细胞免疫功能,并且具有复发率低及不良反应少的优点。

Objective It is to observe the clinical curative effect of integrated traditional Chinese and western medicine compatible with physic liquor of traditional Chinese medicine clyster on relapsing ovary endometriotic cyst.Methods 50 cases of relapsing ovary endometriotic cyst were randomly divided into treatment group（integrated traditional Chinese and western medicine（traditional Chinese medicine Danggui Shanjia Guizhi prescriptions with western medicine danazol） compatible with physic liquor of traditional Chinese medicine clyster group） and control group（Danggui Shanjia Guizhi prescriptions compatible with western medicine danazol taken orally group）,in which there was 25 cases.They were given continuous medication for 6 months.The improving situation of clinical symptoms and signs,the reducing size of the cyst,the relapse rate and the incidence of untoward reaction in the two groups were observed.Results The two groups could obviously alleviate the patient＇s clinical symptoms and signs and reduce the cyst.The total effective rates were 91% and 78%.The relapse rate and the incidence of untoward reaction in treatment group were both lower than that in control group（both P〈0.05）.Conclusion Integrated traditional Chinese and western medicine compatible with physic liquor of traditional Chinese medicine clyster on relapsing ovary endometriotic cyst can obviously alleviate clinical symptoms,reduce the cyst and improve the patient＇s cellular immune function and has the advantage of low recurrence rate and few untoward reactions.