Objective:To explore the influence of warming kidney, promoting blood circulation to remove blood stasis by herbal medicine on the ovary endometriosis cyst after laparoscopy surgery.Methods:Divide 45 cases of endometriosis patients after laparoscopy randomly.18 cases received herb medicine,and 17 cases received western medicine,and other 10 cases were without using any medicine as a control group.Compare the grade of syndromes and signs, clinical outcomes and recurrence of endometriosis cyst among each group.Results:Compared with pre-treatment,there was a statistically significant difference among each group according to their syndromes and sign scores(P<0.01).Herbal medicine group had a significant difference compared with the control group( P<0 .01 ) .Herbal medicine group had a difference compared with the western medicine group(P<0.05).There was a statistically significant difference among each group according to the clinical outcome(P<0.01).The clinical outcome of herbal medicine group and western medicine group was better than that of the control group(P<0.01).Postoperation for 6 months,there was a statistically significant differ-ence among each group according to the recurrence of dysmenorrheal( P<0 .05 ) .Herbal medicine group had no difference compared with western medicine group ( P >0.05 ) .Both herbal medicine group and western medicine group had a significant difference compared with the control group(P<0.05).The recurrence of o-vary cyst after laparoscopy 6 months also had a significant difference among each group ( P<0 .05 ) .Herbal medicine group had no difference compared with western medicine group(P>0.05).Both herbal medicine group and western medicine group had a significant difference compared with the control group(P<0.05). Conclusion:The herbal medicine of nourishing kidney and removing blood stasis can be used to the postopera-tive patients with endometrial cyst.It has a better clinical outcome and can lower the recurrence.It has the same effect compared with GnRH-a,which is worth clinical promotion.%目的:探讨补肾化瘀为主中药对经腹腔镜手术治疗卵巢子宫内膜异位囊肿术后患者疗效的影响.方法:将45例经腹腔镜手术确诊为卵巢子宫内膜异位囊肿的患者随机分为中药组18例,西药组17例,对照组10例,比较三组患者治疗前后症状体征评分,临床疗效及术后痛经,盆腔包块的复发情况.结果:治疗前后各组患者症状体征评分差异显著,具有统计学意义(P<0.01);组间比较,中药组与对照组存在显著性差异,具有统计学意义(P <0.01),中药组与西药组比较存在显著性差异(P <0.05).治疗后组间临床疗效比较,具有显著性差异(P<0.01).中药组及西药组的疗效均优于对照组(P<0.01).术后6个月痛经复发率组间存在差异,具有统计学意义(P<0.05);中药组与西药组比较,差异无统计学意义(P>0.05);中药组及西药组与对照组比较,差异均有统计学意义(P<0.05).术后6个月盆腔包块复发率组间存在差异,具有统计学意义(P<0.05);中药组与西药组比较,差异无统计学意义(P>0.05);中药组及西药组与对照组比较,差异均有统计学意义(P<0.05).结论:补肾化瘀为主中药治疗卵巢子宫内膜异位囊肿术后患者效果显著,复发率低,具有与西药GnRH-α同等的治疗效果,值得临床推广.
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