摘要
目的：研究子宫内膜异位症腹腔镜手术后联合米非司酮、丹莪妇康煎膏及针灸治疗的效果。方法：将132例患者随机分成结合组46例、中医组44例、西医组42例，然后行腹腔镜手术治疗，术后结合组予以米非司酮、丹莪妇康煎膏及针灸治疗；中医组予以丹莪妇康煎膏及针灸治疗；西医组予以米非司酮治疗。比较治疗后子宫内膜异位症疗效、复发率、不孕患者的受孕率及药物不良反应。所有患者随访3～12个月。结果：结合组有效率明显优于其他两组差异有统计学意K（P〈0．05）；3组复发率分别为2．17％、18.18％、16.67％，结合组明显低于其他两组，差异有统计学意义（P〈0.05）；结合组及中医组无不良反应发生，西医组恶心4例，肝酶轻度升高2例；结合组比其余两组术后妊娠率高（P〈0．05）。结论：腹腔镜术后中西医结合治疗子宫内膜异位症治疗效果好，复发率低，能明显提高患者妊娠率，减少不良反应。
Objective：Research clinical ef- fect of endometrisis after laparoscopic oper- ation treated by Mifepristone Dane Fukang fried cream and Acupuncture.Methnds：132 patients were randomly divided into com- bined group 46 patients Chinese medicine group 44 patients and Western medicine group 42 patients,then the laparoscopic op- eration treated.After operation, combined group were given Mifepristone,Dane Fukang fried cream and acupuncture;Chinese medi- cine group were given Dane Fukang fried cream and acupuncture treatment;western medicine group was given Mifepristone treatment.After treatment of endometriosis efficacy,recurrence rate,patients with infer- tility pregnancy rates and adverse drug reac- tion.All patients were followed up for 3-12 months.Results：Combining group was signif- icantly better than the other two groups had significant difference （P〈 0.05）;The recur- rence rates of three group were：2.17% , 18.18% ,16.67% ,combined with the group was significantly lower than the other two groups,the difference was statistically signif- icant （P 〈 0.05）;Combination group and Chi- nese group had no adverse drug reaction,4 cases of Western medicine group nausea,liv- er enzyme mildly increased in 2 cases;com- bination group than the other two groups of postoperative pregnancy rate（P〈 0.05）.Con- clution：Laparoscopic surgery of integrated traditional Chinese and Western medicine treatment of endometriosis has good treat- ment effect,low recurrence rate,can signifi- cantly improve the pregnancy rate of pa- tients,reduce side effects,is worthy of promotion.
