资源描述：
《腹腔镜手术联合中西药治疗子宫内膜异位症的疗效观察》由会员上传分享，免费在线阅读，更多相关内容在应用文档-天天文库。
1、腹腔镜手术联合中西药治疗子宫内膜异位症的疗效观陈忠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【】目的：探讨腹腔镜手术联合中丙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
2、<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：腹腔镜手术联合中丙药治疗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，不良反应少的特点。【关键词】子宫内膜异位症；腹腔镜手术；米非司酮；中药【】R711.71【】B【】1674-的99(2015)9-0551-02ToobservethecurativeeffectoflaparoscopicoperationcombinedwithwesternmedicineinthetreatmentofendometriosisChenZhong1MoXiao
3、yulXiaWei21ZhongshanChenXinghaiobstetricsandGynecologyHospitalGuangdongZhongshan5284152Thefirstpeople'shospitalinguangzhouGuangdongguangzhou510180【Abstract】objectivetostudythelaparoscopicsurgerycombinedChineseandwesternmedicinetreatmentofendometriosis(EM)clinicalefficacyandsafety.Met
4、hods106patientswithEMlaparoscopicsurgeryinaccordancewiththedigitaltablemethodwererandomlydividedintotwogroups,controlgroupand53casesoforalmifepristone,theobservationgrouphad53casesinthecontrolgrouponthebasisofcombinedwithtraditionalChinesemedicine(TCM),andcomparethetwogroupsofclinica
5、leffect.Resultsthetotaleffectiveratewas96.32%ofobservationgroupwasobviouslyhigherthanthatofcontrolgroup81.03%(X2=2.132,P<0.05),theobservationgroupafterdiscontinuationofovulationandmenstruationrecoverytimeshorterthanthecontrolgroup(allP<0.05),and1yearcumulativepregnancyrateissig
6、nificantlyhigherthanthecontrolgroup(P<0.05),theincidenceofadversereactionsinobservationgroupwerelowerthanthatofcontrolgroup(P<0.05).ConclusionlaparoscopicsurgeryinpatientswithcombinedChineseandwesternmedicinetreatmentofEMcansignificantlyimprovecurativeeffect,safe,reliable,reduc
7、ethediseaserecurrencerate,improvepatientpregnancy,thepregnancyoutcomeisgood,thecharacteristicsoffewadversereactions.【Keywords】endometriosis.Laparoscopicsurgery;Mifepristone;TraditionalChinesemedicine(TCM)子宫内膜异位症(Endometriosis,EMS)简称内异症，为育龄妇女常见良性疾病和多发病，是指具有生长功能的子宫内膜组织(腺体和间质)出现在子宫被覆粘膜以
8、外的其他部位的一种激素依
