腹腔镜手术联合中西药治疗子宫内膜异位症的疗效观察

Efficacy of laparoscopic surgery combined with Chinese and western medicine treatment of endometriosis

目的观察腹腔镜手术联合中西药治疗子宫内膜异位症(EM)的临床疗效。方法将82例EM腹腔镜术后患者随机分为两组,对照组41例口服米非司酮,观察组41例则在对照组基础上加用中药,并比较两组疗效。结果观察组总有效率为97.56%,明显高于对照组的78.05%,差异有统计学意义(P<0.05),观察组停药后排卵、月经恢复时间及1年内可累计妊娠率均优于对照组,差异有统计学意义(P<0.05),观察组的体重增加、阴道干涩、阴道点滴出血、转氨酶升高、关节酸痛及痤疮发生率均低于对照组,差异有统计学意义(P<0.05)。结论腹腔镜联合中西药治疗EM患者疗效确切,安全可靠,不良反应少。

Objective To explore the clinical efficacy of laparoscopic surgery combined with Chinese and Western medicine treatment of endometriosis（EM）. Methods 82 cases of EM laparoscopic surgery patients were randomly divided into two groups,41 cases of control group were treated by the mifepristone,41 cases of the observation group were treated by traditional Chinese medicine on the basis of the control group.The two groups were compared statistically. Results The total effective rate of the observation group was 97.56%,which was significantly higher than the control group with 78.05%（P ~ 0.05）.Ovulation after the drug therapy,menstrual recovery time and one year cumulative pregnancy rate were better in the observation group than the control group（P 〈 0.05）.The occurrence of the weight gain,vaginal dryness,vaginal spotting,elevated anainotransferases,joint pain,and aene were lower in the observation group than the control group（P 〈： 0.05）. Conclusion Laparoscopy combined with Chinese and Western medicine has best effect on EM patients,with high safety,reliability,and fewer adverse reactions.