卵巢巧克力囊肿术后加用中西药辅助治疗疗效观察

Observation on the Curative Effect of Traditional Chinese and Western Medicine Adjuvant Therapy for 120 Cases After Chocolate Cyst of Ovary Surgery

目的:探讨补肾活血方和抑那通用于卵巢巧克力囊肿术后辅助治疗的疗效。方法:收集120例卵巢巧克力囊肿术后的患者,随机分为未用药组、中药补肾活血组、西药抑那通组及中西药合并组,每组各30例,治疗组连续用药6个月,停药6个月,观察4组的临床有效率、复发率、受孕率及药物副反应的发生率。结果:4组的临床有效率分别为66.6%、83.3%、86.6%、90%,复发率分别为43.3%、23.3%、26.6%、6.66%,未孕者术后1年的妊娠率分别为42.8%、62.5%、14.2%、25%,药物副反应的发生率分别为0%、0%、53.3%、33.3%。结论:卵巢巧克力囊肿术后加用补肾活血方和抑那通辅助治疗能提高临床有效率和降低复发率,补肾活血方能提高受孕率,并且无任何不良反应。

Objective ：To explore the curative effects of enantone and reinforcing kidney and activating blood TCM extract used for adjuvant therapy of the cases after chocolate cyst of ovary surgery. Methods： A total of 120 cases with chocolate cyst of ovary surgery were selected and divided into group of non - pharmacy, group of reinforcing kidney and activating blood TCM, group of enantone and group of TCM combining western medicine. Each group with 30 cases. The treat- ment groups were medicated for 6 months and drug withdrawal for 6 months, then the clinical effective rates, recurrence rates ,pregnancy rates and side effects in the four groups were analyzed retrospectively. Results ：The clinical effective rates in four groups were 66.6% ,83.3% ,86.6% and 90% respectively, the recurrence rates in four groups were 43.3%, 23.3% ,26.6% and 6.66% respectively, the pregnancy rates at one year after surgery in four groups were 42.8%, 62.5% ,14.2% and 25% respectively, the side effects in four groups were 0% ,0% ,53.3% and 33.3% respectively. Conclusion ： Reinforcing kidney and activating blood TCM and enantone extract used for adjuvant therapy of the cases after chocolate cyst of ovary surgery can significantly improve clinical effective rate and reduce recurrence rate, Reinforcing kidney and activating blood TCM can improve pregnancy rate, as well without any side effect.