论文部分内容阅读
目的:评价桂枝茯苓汤与腹腔镜手术联用对子宫内膜异位症患者的临床疗效的影响。方法:选取2007年11月—2011年3月间确诊治疗的子宫内膜异位症患者146例,依据随机分配方法将其分为中药组(n=73)和对照组(n=73),两组患者均予腹腔镜手术治疗,对照组患者术后给予常规治疗,中药组患者给予桂枝茯苓汤治疗,对比分析两组患者治疗3月血清中抗原水平的变化、疗效和复发情况。结果:中药组患者血清中CA125、IL-6、MMP-9浓度均低于对照组患者(P<0.05);中药组患者总有效率91.79%高于对照组82.20%(P<0.05);中药组患者总复发率9.58%低于对照组17.80%(P<0.05)。结论:桂枝茯苓汤与腹腔镜手术联合能有效改善子宫内膜异位症患者内分泌系统功能,提高手术治疗效果,降低疾病复发的发生。
Objective: To evaluate the clinical effect of Guizhi Fuling Decoction combined with laparoscopic surgery on patients with endometriosis. Methods: A total of 146 patients with endometriosis who were diagnosed and treated between November 2007 and March 2011 were selected and divided into three groups according to randomization: traditional Chinese medicine group (n = 73) and control group (n = 73) Both groups were treated with laparoscopic surgery. Patients in the control group were given conventional therapy after operation. The patients in the traditional Chinese medicine group were treated with Guizhi Fuling Decoction. The changes of serum antigen level, efficacy and recurrence in the two groups were compared. Results: The serum concentrations of CA125, IL-6 and MMP-9 in TCM group were significantly lower than those in control group (P <0.05). The total effective rate was 91.79% in TCM group and 82.20% in control group (P <0.05) The total recurrence rate was 9.58% in the control group and 17.80% in the control group (P <0.05). Conclusion: Guizhi Fuling decoction combined with laparoscopic surgery can effectively improve the endocrine system in patients with endometriosis, improve surgical treatment and reduce the incidence of disease recurrence.