腹腔镜手术联合中西药治疗子宫内膜异位症的疗效观察.docVIP

精品论文 参考文献 腹腔镜手术联合中西药治疗子宫内膜异位症的疗效观察 陈 忠1 莫小宇1 夏 薇 　　1.中山市陈星海医院 广东中山 528415； 　　2.广州市第一人民医院 广东广州 510180 　　【摘 要】目的：探讨腹腔镜手术联合中西药治疗子宫内膜异位症（EM）的临床疗效与安全性。方法：将106例EM腹腔镜术后患者按照数字表法随机分为两组，对照组53例口服米非司酮，观察组53例则在对照组基础上加用中药，并比较两组临床效果。结果：观察组的总有效率为96.32%明显高于对照组的81.03%(X2=2.132，P＜0.05)，观察组停药后排卵、月经恢复时间均短于对照组（均P＜0.05），而1年内累计妊娠率明显高于对照组P＜0.05），观察组的各项不良反应发生率均低于对照组（P＜0.05）。结论：腹腔镜手术联合中西药治疗EM患者能显著提高疗效，安全、可靠，降低疾病复发率，提高患者受孕率，妊娠结局良好，不良???应少的特点。 　　【关键词】子宫内膜异位症；腹腔镜手术；米非司酮；中药 　　【中图分类号】R711.71 【文献标识码】B 【文章编号】1674-8999（2015）9-0551-02 　　To observe the curative effect of laparoscopic operation combined with western medicine in the treatment of endometriosis 　　Chen Zhong 1 Mo Xiaoyu1 Xia Wei2 　　1 Zhongshan Chen Xinghai obstetrics and Gynecology Hospital Guangdong Zhongshan 528415 　　2 The first peoples hospital in guangzhou Guangdong guangzhou 510180 　　【Abstract】objective to study the laparoscopic surgery combined Chinese and western medicine treatment of endometriosis (EM) clinical efficacy and safety. Methods 106 patients with EM laparoscopic surgery in accordance with the digital table method were randomly divided into two groups, control group and 53 cases of oral mifepristone, the observation group had 53 cases in the control group on the basis of combined with traditional Chinese medicine (TCM), and compare the two groups of clinical effect. Results the total effective rate was 96.32% of observation group was obviously higher than that of control group 81.03% (X2 = 2.132, P lt; 0.05), the observation group after discontinuation of ovulation and menstruation recovery time shorter than the control group (all P lt; 0.05), and 1 year cumulative pregnancy rate is significantly higher than the control group (P lt; 0.05), the incidence of adverse reactions in observation group were lower than that of control group (P lt; 0.05). Conclusion laparoscopic surgery in patients with combined Chinese and western medicine treatment of EM can significantly improve curative effect, safe, reliable,