摘要
目的探讨腹腔镜联合冯氏内异方治疗Ⅰ、Ⅱ期子宫内膜异位症的效果。方法对90例确诊为Ⅰ、Ⅱ期子宫内膜异位症的不孕患者,随机分为单纯手术组(A组)、手术+冯氏内异方组(B组)和手术+孕三烯酮组(C组);追踪三组3、6、12个月的累积妊娠率及累积复发率。结果三组患者3、6、12个月累积妊娠例数及妊娠率比较,A、B组3个月累积妊娠率均高于C组(P<0.05),B、C组6个月、12个月累积妊娠率均高于A组(P<0.05)。三组患者3、6、12个月累积复发例数及复发率比较,A组术后6个月、12个月累积复发率明显高于B、C组(P<0.05)。结论Ⅰ、Ⅱ期子宫内膜异位症伴不孕患者腹腔镜治疗后应用冯氏内异方治疗对提高妊娠率、降低复发率有一定的疗效。
Objective To explore the effect of the combined therapy of laparoscope and fengshi neiyi formula in the treatment Ⅰ、Ⅱ stage endometriosis (EMT). Methods Ninety infertility patients diag- nosed asⅠ、Ⅱstage EMT were randomized into a simple operation group(A group),an operation + fengshi neiyi formula( B group)and an operation + gestrinone group( C group). The accumulative pregnancy rate and accumulative recurrence rate were traced for 3,6 and 12 months separately in three groups. Results For the comparison of accumulative pregnancy cases and pregnancy rate in 3,6 and 12 months for the patients in three groups, with the paired comparison, the accumulative pregnancy rate of 3 months in A and B groups was higher than that in C group( P 〈 0.05 ), that of 6 and 12 months in B and C groups was higher than that in A group( P 〈 0.05 ) ;with the comparison among three groups for the accumulative recurrence cases and recur- rence rate in 3,6 and 12 months,the accumulative rate in 6 and 12 months after operation in A group was higher remarkably than that in B and C group(P 〈 0.05 ). Conclusion The application of fengshi neiyi for- mula presents a certain efficacy of improving pregnancy rate and reducing recurrence rate for the patients with Ⅰ、Ⅱ stage EMT and infertility after laparoscope.
出处
《世界中西医结合杂志》
2013年第3期252-254,274,共4页
World Journal of Integrated Traditional and Western Medicine
基金
广东省中药局科研课题(No.20111134)
关键词
子宫内膜异位症
腹腔镜
冯氏内异方
妊娠率
复发率
Endometriosis
Laparoscope
Fengshi Neiyi Formula
Pregnancy Rate
Recurrence rate