红藤方治疗术后复发性子宫内膜异位症41例的疗效及生存质量评价

Effects of "Hongteng Recipe" on Post-operative Recurrent Endometriosis and Quality of Life:A Report of 41 Cases

目的:通过对子宫内膜异位症术后复发患者应用红藤方治疗,来评价红藤方的临床疗效及其对患者生存质量的影响。方法:选取经腹腔镜手术后复发的患者41例,病理均证实为卵巢内膜样囊肿,用红藤方连续治疗3个月。观察红藤方的临床疗效及患者在治疗前后临床主要症状、相关理化指标(包括CA125水平、B超检查卵巢囊肿大小)和生存质量情况;并于疗程结束后3个月进行随访,观察该方的远期疗效。结果:41例患者总有效率为90.2%,愈显率为39.0%;治疗后,患者痛经、慢性盆腔痛、乳胀、腰酸、肛门坠痛等症状较治疗前明显改善(P<0.05或P<0.01),血CA125水平较治疗前明显降低(P<0.05),卵巢囊肿明显缩小(P<0.05);所有患者的生存质量均明显改善,生存质量评分明显降低(P<0.05);治疗及随访中无副作用及不良反应发生。结论:红藤方能明显改善术后复发性子宫内膜异位症患者痛经、慢性盆腔痛等主要症状,提高患者生存质量,缩小卵巢囊肿。

Objective： To evaluate the clinical effects of ＂Hongteng Recipe＂ on post-operative recurrent endometriosis after operation and the quality of life of the patients.Methods： Forty-one cases of recurrent endometriosis after operation who were confirmed by pathology after laparoscopy with ovarian chocolate cyst were treated by ＂Hongteng Recipe＂ for three months.The clinical effects,main symptoms,the level of CA125,the size of ovarian cyst,the quality of life and the long-term effects of all the patients were observed.Results： After treatment,the total effective rate was 90.2% and the marked effective rate was 39.0%.The main symptoms such as dysmenorrhea,chronic pelvic pain,distention of breasts,aching waist and anus pain were obviously improved（P0.05 or P0.01）,the level of CA125 was decreased（P0.05）,the size of ovarian cyst was reduced（P0.05）,the quality of life was improved and the scores of quality of life were decreased（P0.05）.There were no side effects and adverse reactions in the course of treatment and follow-up.Conclusion： ＂Hongteng Recipe＂ can improve such main symptoms as dysmenorrhea and chronic pelvic pain,enhance the quality of life and reduce the size of ovarian cyst.