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目的:观察分析生化汤辅助治疗子宫内膜息肉宫腔镜电切术(TCRP)后患者的临床疗效。方法:选取2014年6月至2016年9月于本院接受治疗的134例子宫内膜息肉(EP)患者,将所选患者按随机数字表法分为治疗组与对照组,每组各67例,对照组患者单纯采用TCRP进行治疗,术后常规采用缩宫素及抗生素2天,治疗组患者在对照组患者基础上加上生化汤辅助治疗,术后常规采用缩宫素及抗生素2天,在术后第3天开始口服生化汤,每日1次,连服3天,治疗3个月。回顾性分析两组患者的临床资料,对比分析两组患者治疗前后的临床疗效。结果在治疗后,治疗组月经周期正常有61例(91.04%),不正常有6例(8.96%),对照组月经周期正常有53例(79.10%),不正常有14例(20.90%),两组进行比较,差异有统计学意义(P<0.05);治疗前,两组进行月经量的对比,差异无统计学意义(P>0.05);治疗后,两组进行月经量的对比,存在明显差异,差异有统计学意义(P<0.05)。治疗后,治疗组子宫内膜平均厚度为(7.74±1.24)mm,对照组子宫内膜平均厚度为(9.91±1.11)mm,两组进行对比,差异有统计学意义(P<0.05);治疗后,治疗组EP复发3例(4.48%),未复发64例(95.52%),对照组复发13例(19.40%),未复发54例(80.60%),两组进行对比,差异有统计学意义(P<0.05)。治疗后,治疗组痊愈38例(56.72%),显效18例(26.87%),有效9例(13.43%),无效2例(2.99%),总有效率为97.01%;对照组痊愈24例(35.82%),显效14例(20.90%),有效18例(26.87%),无效11例(16.42%),总有效率为83.58%,两组进行对比,差异有统计学意义(P<0.05)。结论生化汤辅助治疗子宫内膜息肉宫腔镜电切术后患者可改善患者月经量增多、经期延长、不规则阴道出血等临床症状,减少子宫内膜息肉的复发,提高治疗安全性,有利于患者病情快速恢复,值得临床推广。
Objective: To observe and analyze the clinical effect of biochemical soup adjuvant treatment of endometrial polyps after hysteroscopic electrotomy (TCRP). Methods: A total of 134 patients with endometrial polyps (EP) treated in our hospital from June 2014 to September 2016 were randomly divided into treatment group and control group according to random number table Cases, the control group of patients treated with TCRP alone, postoperative routine use of oxytocin and antibiotics for 2 days, the treatment group patients in the control group based on the addition of biochemical soup adjuvant therapy, conventional oxytocin and antibiotics after 2 days , 3 days after the beginning of oral biochemical soup, 1 day, and even served 3 days for 3 months. The clinical data of two groups of patients were retrospectively analyzed, and the clinical effects of the two groups were compared before and after treatment. Results After treatment, 61 cases (91.04%) had normal menstruation cycle, 6 cases (8.96%) had abnormal menstruation, 53 (79.10%) had abnormal menstrual cycle, 14 (20.90%) had abnormal menstruation, (P <0.05). Before the treatment, there was no significant difference in the menstrual flow between the two groups (P> 0.05); after the treatment, the menstrual flow was compared between the two groups, There was a significant difference, the difference was statistically significant (P <0.05). After treatment, the mean endometrial thickness of the treatment group was (7.74 ± 1.24) mm, while that of the control group was (9.91 ± 1.11) mm, the difference was statistically significant (P <0.05) After treatment, the recurrence rate of EP in the treatment group was 3 (4.48%), 64 (95.52%) were not recurrence, 13 (19.40%) in the control group and 54 (80.60%) in the control group Significance (P <0.05). After treatment, the treatment group cured 38 cases (56.72%), markedly effective in 18 cases (26.87%), effective in 9 cases (13.43%), ineffective in 2 cases (2.99%), the total effective rate was 97.01% 35.82%), 14 (20.90%) were effective, 18 (26.87%) were effective, 11 (16.42%) were ineffective, and the total effective rate was 83.58%. There was significant difference between the two groups (P <0.05) . Conclusion Biochemical Decoction assisted treatment of endometrial polyps after hysteroscopic electrotomy patients can improve patients with increased menstrual flow, menstruation, irregular vaginal bleeding and other clinical symptoms, reduce the recurrence of endometrial polyps and improve the safety of treatment, is conducive to Rapid recovery of patients, it is worth clinical promotion.