CAJ | 학술논문

目的：卵巢子宫内膜异位囊肿（ Endometial Abdominal Mass ，简称EMA）又称卵巢巧克力囊肿，是子宫内膜异位症中最常见的一种。本课题通过分析卵巢巧克力囊肿腹腔镜保守性手术术后患者用药情况，观察中药灌肠治疗用于卵巢巧克力囊肿术后辅助治疗的临床疗效、复发情况、以及妊娠情况。方法将患者随机分为三组，空白组49例（单纯腹腔镜手术组）、西药组44例（孕三烯酮组）、中药组48例（中药灌肠组）。行盆腔B超及妇科检查，不孕患者随访妊娠情况。最后对收集资料用SPSS16.0软件进行分析。结果①各组症状改善情况及复发率的比较：术后9个月，治疗后患者自觉症状的总有效率比较：中药组和西药组差异无统计学意义（ P＞0.05）；中药组和空白组比较差异具有统计学意义（P＜0.05）；西药组和空白组比较差异具有统计学意义（P＜0.05）。术后12个月，复发率的比较：中药组与西药组差异无统计学意义（ P＞0.05）。中药组和空白组比较差异具有统计学意义（P＜0.05）；西药组和空白组比较差异具有统计学意义（P＜0.05）。②累积妊娠率比较：三组患者术后一年内累积妊娠率分别为21.05％和36.36％和55.00％，西药组与空白组比较P＞0.05无显著差异。中药组与空白组比较，P＜0.05.具有统计学意义。中药组与西药组P＞0.05，虽无显著差异。但中药组妊娠率高于西药组。结论中药灌肠用于腹腔镜EMT术后能改善患者的自觉症状、降低复发率，改善术后患者妊娠率。
목적：란소자궁내막이위낭종（ Endometial Abdominal Mass ，간칭EMA）우칭란소교극력낭종，시자궁내막이위증중최상견적일충。본과제통과분석란소교극력낭종복강경보수성수술술후환자용약정황，관찰중약관장치료용우란소교극력낭종술후보조치료적림상료효、복발정황、이급임신정황。방법장환자수궤분위삼조，공백조49례（단순복강경수술조）、서약조44례（잉삼희동조）、중약조48례（중약관장조）。행분강B초급부과검사，불잉환자수방임신정황。최후대수집자료용SPSS16.0연건진행분석。결과①각조증상개선정황급복발솔적비교：술후9개월，치료후환자자각증상적총유효솔비교：중약조화서약조차이무통계학의의（ P＞0.05）；중약조화공백조비교차이구유통계학의의（P＜0.05）；서약조화공백조비교차이구유통계학의의（P＜0.05）。술후12개월，복발솔적비교：중약조여서약조차이무통계학의의（ P＞0.05）。중약조화공백조비교차이구유통계학의의（P＜0.05）；서약조화공백조비교차이구유통계학의의（P＜0.05）。②루적임신솔비교：삼조환자술후일년내루적임신솔분별위21.05％화36.36％화55.00％，서약조여공백조비교P＞0.05무현저차이。중약조여공백조비교，P＜0.05.구유통계학의의。중약조여서약조P＞0.05，수무현저차이。단중약조임신솔고우서약조。결론중약관장용우복강경EMT술후능개선환자적자각증상、강저복발솔，개선술후환자임신솔。
Objective Endometrial abdominal mass (referred to as EMA), also known as ovarian chocolate cysts , is the most common form of endometriosis.This topic analyzes the use of medcine in patients of ovarian chocolate cysts after laparoscopic conservative surgery , observing the clinical efficacy , recurrence, pregnancy circumstances for ovarian choc-olate cysts after laparoscopic -assisted treatment.Methods Patients were randomly divided into three groups: control group 49 cases ( pure laparoscopic surgery group ) , western medicine group 44 cases ( gestrinone group ) , the Traditional Chinese Medicines (TCM) enema group 48 cases.Observe the result of pelvic B chao and gynecological examinations and pregnancy conditions.Finally, use software SPSS16.0 to analyse the data.Results ①Comparison of symptom im-provement in each group:The total effective rate comparison after 9 months of treatment:the differences between tradi-tional Chinese medicine and western medicine groups were statistically significant ( P<0.05 ); the differences between traditional Chinese medicine group and blank group statistically significance ( P<0.05 );that between western medicine group and the blank group was statistically significant ( P<0.05 ).Recurrence rate comparison:the difference between traditional Chinese medicine group and western medicine group was not statistically significant ( P>0.05 );that between traditional Chinese medicine group and the control group was statistically significant ( P<0.05 ) and statistically signifi-cant between western medicine group and the control group ( P<0.05 ).②Comparison of cumulative pregnancy rates:the cumulative pregnancy rates in three groups were respectively 21.05%, 36.36%and 55.00%within a year.Western medicine group , compared with the control group P>0.05 , showed no significant difference.Traditional Chinese medi-cine group , compared with the blank group P<0.05 showed significant difference.P>0.05 between traditional Chinese medicine group and western medicine group even if showed no significant difference , but the pregnancy rate was higher than the western medicine group.Conclusions Laparoscopic surgery combined with traditional Chinese medicine enema treatment of endometrial abdominal mass can improve the patient′s symptoms and reduce the recurrence rate.The therapy can improve the pregnancy rate.It is superior to laparoscopic surgery group.