CAJ | 학술논문

目的：探讨清胞饮辅助治疗对子宫颈上皮内瘤样病变（ CIN ）行宫颈环切术（LEEP）后患者妊娠结局的影响。方法将宫颈内瘤样病变行LEEP术后的162例妇女分为治疗组和对照组各81例，治疗组术后应用清胞饮和复方黄柏液治疗，对照组术后应用复方黄柏液治疗，比较2组妊娠结局。结果治疗组治愈率98％，对照组治愈率80％，2组用药后HPV持续阳性、治愈率比较有显著性差异（ P均＜0．05）。2组足月阴道分娩数、剖宫产率比较均无显著性差异。治疗组阴道分娩的产程较对照组短（P＜0．05），无新生儿窒息，无宫颈功能不全者。结论宫颈CIN行LEEP术后辅以清胞饮治疗，治愈率高，复发率低，不良反应少，对要求保留生育功能的患者是安全有效的方法，且不影响其分娩结局。
목적：탐토청포음보조치료대자궁경상피내류양병변（ CIN ）행궁경배절술（LEEP）후환자임신결국적영향。방법장궁경내류양병변행LEEP술후적162례부녀분위치료조화대조조각81례，치료조술후응용청포음화복방황백액치료，대조조술후응용복방황백액치료，비교2조임신결국。결과치료조치유솔98％，대조조치유솔80％，2조용약후HPV지속양성、치유솔비교유현저성차이（ P균＜0．05）。2조족월음도분면수、부궁산솔비교균무현저성차이。치료조음도분면적산정교대조조단（P＜0．05），무신생인질식，무궁경공능불전자。결론궁경CIN행LEEP술후보이청포음치료，치유솔고，복발솔저，불량반응소，대요구보류생육공능적환자시안전유효적방법，차불영향기분면결국。
Objective It is to explore the effect of Qingbao decoction on pregnancy outcome of patients with cervical intra -epithelial neoplasia (CIN) after loop eelectrosurgical excision procedure (LEEP).Methods 162 pregnant women with CIN undergoing LEEP were divided into treatment group and control group , each group had 81 cases.After operation the treatment group was treated with Qingbaoyin decoction and compound Huangbai liquid , and the control group was treated with compound Huangbai liquid .The pregnancy outcomes between the two groups were compared .Results The cure rate was 98% in treat-ment group and 80%in control group , after therapy there was significant difference in cure rates in HPV -positive ones be-tween two groups (P<0.05).There was no significant difference in full-term vaginal delivery rate, cesarean section rates be-tween the two groups.Vaginal delivery stage of the treatment group was shorter than that of the control group (P<0.05).no newborn asphyxia and cervical insufficiency was found .Conclusion The treatment with LEEP combined with Qingbaoyin de-coction for CIN has high cure rate and low recurrence rate with less side effect .This therapy is a safe and effective method for the patients who need preserving fertility , and do not affect their outcome of pregnancy .