中西结合治疗子宫内膜异位症腹腔镜术后42例疗效分析

目的对中西医结合治疗子宫内膜异位症腹腔镜术后进行疗效分析。方法将78例子宫内膜异位症患者行腹腔镜治疗术后采用孕三烯酮与活血止痛汤中药联合治疗进行随机分组,治疗组42例,每次给予孕三烯酮2.5 mg,每周2次,连用3个月,再改用中药活血止痛汤3个月;对照组36例,每次给予孕三烯酮2.5 g,每周2次,连用6个月。结果观察临床疗效、血清CA125水平变化、血清性激素水平、复发率及不良反应情况,与对照组比较,差异有统计学意义（P〈0.05）。结论孕三烯酮联合活血止痛汤药物的方法治疗子宫内膜异位症腹腔镜术后取得了良好的临床疗效,能有效消除病灶和缓解临床证候群,明显降低其复发率,且长期使用副作用小,值得临床推广。

Efficacy Analysis of 42 Cases of Endometriosis after Laparoscopic Surgery Treated with Integrated Chinese and Western Medicine

Objective To analyze the effect of integrated Chinese and western medicine on endometriosis after laparoscopic surgery.Methods 78 cases of endometriosis were treated with laparoscopic surgery.After operation,gestrinone and huoxue zhitong decoction were applied.78 cases were divided randomly into a treatment group(42 cases)and a control group(36 cases).In treatment group,gestrinone,2.5 mg was administered,twice a week,continuously for 3 months;afterwards,huoxue zhitong decoction was taken for 3 months.In control group,gestrinone,2.5 g was administered,twice a week,continuously for 6 months.Results The clinical efficacy,serum CA125 level,serum sex hormone level,recurrence rate and adverse reaction presented statistical significant difference in comparison between treatment group and control group(P<0.05).Conclusion The allied program of gestrinone and huoxue zhitong decoction achieves the good clinical efficacy on endometriosis after laparoscopic surgery.This program of treatment can effectively remove the focus and clinical symptoms,obviously reduce the recurrence rate and has less side reaction in long-term application.Hence,it deserves to be promoted in clinic.