中西结合防治子宫内异症术后复发临床分析

Clinical Analysis on Prevention of Recurrence of Postoperative Endometriosis by Combined Therapy of Traditional Chinese and Western Medicines

目的探讨中西结合防治子宫内异症术后复发临床效果。方法选择2010年6月-2011年10月在湖南省妇幼保健院就诊的子宫内膜异位症患者80例,根据术后药物治疗的不同分为治疗组与对照组各40例,两组都采用手术治疗同时应用西药防止复发,治疗组加用自拟中药汤治疗。结果治疗组显效率为95.0%,对照组为77.5%,组间比较差异有统计学意义(P<0.05)。两组治疗前VAS评分差异无统计学意义,治疗后都有明显下降(P<0.05),同时组间比较差异有统计学意义(P<0.05)。随访1年,治疗组的复发率明显低于对照组(P<0.05)。结论中西结合治疗对防治子宫内膜异位症复发有很好的效果,同时提高疗效,缓解疼痛,值得推广应用。

Objective To explore the clinical efficacy of combined therapy of traditional Chinese and western medicines on the prevention of recurrence of postoperative endometriosis.Methods Eighty patients with endometriosis hospitalized in Maternal and Child Health Hospital of Hunan Province from June 2010 to October 2011 were enrolled in this study.All patients were divided into treatment group and control group（each n=40） according to different postoperative therapies.The patients of the two groups were treated surgically and simultaneously administered with western medicines to prevent the postoperative recurrence.On the basis of these treatments,the patients of treatment group were given self-made Chinese herbal decoction additionally.Results The obvious effective rates of treatment group and control group were 95.0% and 77.5%,respectively,and there were statistically significant differences between the two groups（P〈0.05）.No statistically significant difference was found in the scores of VAS before the treatment between the two groups.After the treatment,the scores of VAS of the two groups were decreased significantly（P〈0.05） and the decrease in treatment group was more than that in control group（P〈0.05）.One-year follow-up results showed that the recurrence rate of treatment group was significantly lower than that of control group（P〈0.05）.Conclusions Combined therapy of traditional Chinese and western medicines is effective in the prevention and treatment of recurrent endometriosis;meanwhile,it can increase the therapeutic efficacy and alleviate the pain.It is worthy of being popularized and applied.