香棱丸预防腹腔镜子宫肌瘤剥除术后复发疗效观察

Efficacy Observation of Xiangleng Pill for Preventing Recurrence after Laparoscopic Hysteromyomectomy

目的:观察腹腔镜子宫肌瘤剥除术后应用中药香棱丸预防复发的疗效。方法:选择经腹腔镜子宫肌瘤剥除术后患者172例,随机分为两组,治疗组92例术后口服香棱丸,于术后第7天开始用药,连服3个月,经期停服,用药期间每月复查,停药后每6个月随访1次,行妇科检查及妇科B超以了解复发率,共3年。对照组80例术后不用药,定期随访。比较两组子宫肌瘤术后复发率。结果:治疗组复发率为4.3%;低于对照组22.5%,两组比较差异具有统计学意义(P<0.05)。结论:香棱丸用于腹腔镜子宫肌瘤剥除术后预防复发有明显的疗效。

Objective: To explore the effect of Xiangleng pill for preventing recurrence after the extirpation of hysteromyoma with laparoscope. Methods: 172 patients after stripping hysteromyoma operation by laparoscope were divided randomly into two groups. 92 cases in the treatment group began oral taking Xiangleng pills in the 7thday after operation for 3 months,stopped to take the pills during the menstruation,and were checked monthly during treatment,followed-up 1time every 6 months after treatment,checked in the gynaecology and ultrasound,in order to understand the recurrence rate,a total of three years. While 80 cases in the control group took no pills after operation,who regularly was followed-up. To compare postoperative recurrence rate of uterine myoma between two groups. Results: The recurrence rate of the treatment group was 4. 3%,lower than one of the control group22. 5%,the difference was statistically significant( P < 0. 05). Conclusion: Xiangleng pill has obvious curative effect on prevention recurrence after the extirpation of hysteromyoma with laparoscope.