中西医结合治疗子宫内膜异位症30例疗效分析

目的分析中西医结合治疗子宫内膜异位症的临床疗效。方法选取我院2006年1月～2013年3月所收治的60例子宫内膜异位症患者作为临床研究对象，将所有患者随机分为实验组和对照组两组，两组患者都从月经周期第5天开始予以米非司酮口服治疗，实验组在此基础上加用中药治疗。治疗3个月后观察两组治疗效果。结果实验组患者的总有效率为73．3％，对照组患者的总有效率为50．0％。两组比较，治疗总有效率差异有统计学意义（P〈0．05）。实验组患者的1年复发率为3-3％，对照组为16．7％，两组比较差异有统计学意义（P〈0．05）。治疗前实验组有15例患者合并不孕症，1年内妊娠7例；对照组有14例患者合并不孕症，1年内妊娠2例。差异有统计学意义（P〈0．05）。结论在米非司酮的基础上加用中药汤剂治疗子宫内膜异位症的效果显著，可以取长补短，值得在临床工作当中推广应用。

Analysis on curative effect of 30 patients with endometriosis treated by combination of traditional Chinese medicine and western medicine

Objective To analyze the clinical effect of endometriosis treated by combination of traditional Chinese medicine and Western medicine. Methods Sixty patients with endometriosis who had been treated in our hospital from January 2006 to March 2013 were selected as the research objects and were randomly divided into the experimental group and the control group. The patients of two groups were given Mifepristone oral treatment from the 5th of menstrual cycle. On the basis of this, the patients of the experimental group were added traditional Chinese medicine treatment. The therapeutic effect of two groups were observed after three months of treatment. Results The total effective rate of the experimental group was 73.3%, while that of the control group was 50.0%, the difference was statistically significance between two groups（P 〈 0.05）. The recurrence rate after one year in experimental group was 3.3%, while that in the control group was 16.7%, the difference was statistically significance between two groups （P 〈 0.05）. 15 patients were complicated with infertility before the treatment in the experimental group, of which 7 patients got pregnant within a year.While 14 patients were complicated with infertility before the treatment in the control group, of which 2 patients got pregnant within a year. The difference was statistically significance between two groups（P 〈 0.05）. Conclusion On the basis of mifepristone, using traditional Chinese medicine decoction to treat endometriosis has obvious curative effect. It is worthy of popularization and application in clinic.