中药灌肠联合高强度聚焦超声治疗子宫肌瘤60例临床的研究.docVIP

中药灌肠联合高强度聚焦超声治疗子宫肌瘤60例临床的研究 　　【摘要】目的 观察并评价中药灌肠联合高强度聚焦超声（HIFU）治疗子宫肌瘤疗效。方法 选择2015年11月～2017年5月期间在我院接受治疗的60例宫肌瘤患者，按照接诊日期单双数分为对照组与观察组各30例，对照组采用HIFU治疗，观察组在HIFU基础上应用中药灌肠疗法，对两组患者临床治疗效果进行统计与处理。结果 观察组有效率96.7%，显著高于对照组73.3%，组间差异有统计学意义（P0.05）；治疗后均有所减缩，观察组患者上述指标改善效果显著好于对照组，组间差异显著（P0.05）；两组患者治疗与随访期间均没出现严重并发症。结论 中药灌肠联合高强度聚焦超声治疗子宫肌瘤效果优良，具有一定推广价值。 　　【关键词】子宫肌瘤；高强度聚焦超声；中药灌肠；疗效评估 　　【中图分类号】R737.33 【文献标识码】A 【文章编号】ISSN.2095-6681.2018.6..02 　　【Abstract】Objective To observe and evaluate the efficacy of traditional Chinese medicine enema combined with high intensity focused ultrasound （HIFU） in the treatment of hysteromyoma.Methods 60 cases of uterine fibroids patients choose November 2015 ～2017 year in May in our hospital，according to the date of receiving single and double divided into control group and observation group with 30 cases in each group，the control group was treated with HIFU，the observation group in the HIFU on the basis of the application of traditional Chinese medicine enema， statistics and processing of two groups of patients with clinical treatment effect.Results The effective rate of observation group was 96.7%， significantly higher than 73.3% in the control group， there was significant difference between the groups （P0.05）；after treatment were dropped，the patients in the observation group improved significantly better than the control index group， significant differences between the groups （P0.05）；two groups of patients during treatment and follow-up were not serious complications.Conclusion The effect of traditional Chinese medicine enema combined with high intensity focused ultrasound in the treatment of hysteromyoma has a good effect， and has a certain promotion value. 　　【Key Words】Uterine myoma； High intensity focused ultrasound； Traditional Chinese medicine enema； Evaluation of curative effect 　　子?m肌瘤是临床中一种常见良性肿瘤，育龄女性是本病好发群体，绝经后肌瘤直径与体积均有所减缩。有统计资料显示，子宫肌瘤在育龄女性中发生率为19.1%，最近几年中有上涨趋势，对患者生活质量造成显著影响，积极研讨子宫肌瘤有效治疗方案是现代医学重要课题之一[1]。 　　1 资料与方法 　　1.1 一般资料 　　取2015年11月～20