摘要
目的:观察中西医结合治疗中重度宫腔粘连的临床疗效。方法:选择138例中重度IUA患者,将其分成观察组72例和对照组66例。所有患者治疗前均行宫腔镜下宫腔粘连分离术+上环术。对照组术后使用大剂量雌激素人工周期疗法治疗;观察组术后使用小剂量雌激素人工周期治疗法、口服桂枝茯苓胶囊、盆炎散湿热敷下腹部、妇科灌肠液保留灌肠、红外线照射下腹部治疗。两组疗程均为3个月。3个月后复查并评估两组宫腔粘连及子宫内膜覆盖情况。结果:观察组中度宫腔粘连治疗总有效率与对照组比较,差异有统计学意义(P>0.05);两组重度宫腔粘连治疗总有效率比较,差异无统计学意义(P>0.05)。结论:中重度宫腔粘连临床疗效较好,值得推广应用。
Objective TO observe the clinical efficacy of severeIUA with integrative medicine treatment. Methods 138 cases of severe IUA randomlydivided into observation and control group. All patients were treated with TRCA and inserting intrauterinedevice. After the operation, the patients of control groupwere treated with large dose estrogen artificial cycle. But the patients of observation group were treated with low dose estrogen artificial cycle and took guizhifuling capsule. At the same time, external application with pe- nyansan and retention enema with fukeguanchangye and infrared radiation were applied. Both the therapy session were 3 moths. The re - examination was performed after 3 months to estimate adhesion and endometrium. Results The difference in the totaleffective rates of The two groups with moderate IUA had statistical significance （P 〈 0. 05）. And the difference in the two groups with severe IUA had no tatistical significance （ P 〉 0. 05 ）. Conclusion Integrative medicine treatment was good for moderate - to - severe IUA. It is worthy of clinical popularization.
出处
《中国民族民间医药》
2015年第18期79-80,共2页
Chinese Journal of Ethnomedicine and Ethnopharmacy
基金
广东省中医药管理局计划项目编号:20131086
关键词
宫腔粘连
中西医结合
临床观察
intrauterine adhesion
integrative medicine treatment
clinical observation
