论文部分内容阅读
目的:探讨腹腔镜术后加用中药内异丸口服、内异灌肠液灌肠内外合治子宫内膜异位症伴不孕的疗效,并与腹腔镜术后加用内美通对比。方法:对95例子宫内膜异位症伴不孕患者采用随机单盲的研究方法随机分成两组,A组(内异丸+内异灌肠液组)共46例,B组(内美通组)共49例。A组术后给予内异丸口服加内异灌肠液灌肠治疗3个月经周期,B组术后给予内美通治疗3个月经周期。结果:2组手术加药物治疗3个月经周期后临床疗效比较无差异(P>0.05),随访1~24个月,术后3个月A组妊娠数4例,B组妊娠数0;2组半年内妊娠数比较(P<0.05),差异有显著性;2组1年内、2年内妊娠数和总妊娠率比较(P>0.05),差异无显著性。结论:腹腔镜术后结合内异丸+内异灌肠液内外合治子宫内膜异位症伴不孕可提高术后半年的妊娠率。
Objective: To investigate the efficacy of laparoscopic plus traditional Chinese medicine Neiyi Wan oral and internal enema enema enema with internal and external endometriosis with infertility and compared with laparoscopic plus intra-uterine surgery. Methods: A total of 95 patients with endometriosis and infertility were randomly divided into two groups: A group (Neishimai + Enema enema group), 46 patients in group B Group) a total of 49 cases. Group A was treated with NeiYan Pills orally with enema and enema for 3 menstrual cycles, and Group B was given Nemex for 3 menstrual cycles after operation. Results: There was no significant difference in clinical efficacy between the two groups after 3 menstrual cycles (P> 0.05). The follow - up period was 1 to 24 months. In the 3 months after operation, the number of pregnancy in group A was 4 and that in group B was 0 There was no significant difference in the number of pregnancies between two groups within one year and two years (P> 0.05), but the difference was not significant. Conclusion: Laparoscopic surgery combined with Neiwan Wan + Enema enema with internal and external endometriosis with infertility can increase the pregnancy rate after six months.