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1、桂枝茯苓膠囊治療女性盆腔包塊的臨床研究【關(guān)鍵詞】盆腔包塊(新疆醫(yī)科大學(xué)第一附屬醫(yī)學(xué)院婦科,新疆烏魯木齊830054)摘要:目的:探討中成藥桂枝茯苓膠囊治療女性盆腔包塊的臨床效果。方法:盆腔包塊患者157例,?其中子宮肌瘤30例,子宮腺肌癥31例,單純性卵巢囊腫38例,內(nèi)膜樣卵巢囊腫58例,口服桂枝茯苓膠喪治療3個(gè)月為一?療程,觀察臨床癥狀改善情況及包塊縮小情況。結(jié)果:?jiǎn)渭冃月殉材夷[、內(nèi)膜樣卵巢囊腫、子宮腺肌癥及子宮肌瘤治療總有效率分別為92.11%、77.59%、74.19%、70.00%;肌瘤或囊腫最大直徑<5cm與>5cm相比較差異有統(tǒng)計(jì)學(xué)意義(P<0.05?0
2、.01),直徑<5cm的療效好;子宮肌瘤單發(fā)性與多發(fā)性比較,子宮腺肌癥中子宮增大<8周與28周比餃差異均無(wú)統(tǒng)計(jì)學(xué)意義(P>0.05);囊腫、肌瘤或子宮休積愈小療效愈佳;單純性卵巢囊腫療效最好,與其它病種相比差異具有統(tǒng)計(jì)學(xué)意義(P<0.05-0.01)o結(jié)論:桂枝茯苓膠囊対臨床癥狀改善療效顯著;對(duì)小型子宮肌瘤、子宮腺肌癥、單純性卵巢囊腫及內(nèi)膜樣卵巢囊腫具有良好的療效。關(guān)鍵詞:桂枝茯苓膠囊;盆腔包塊;治療ClinicalinvestigationoftreatingpelvicmassoffemalewithguizhifulingcapsulesMENGWei,DIN
3、GYan(DepartmentofGynecology,FirstAffiliatedHospital,XinjangMedicalUniversity,Urumqi830054,China)Abstract:Objective:Toobservetheclinicaleffectoftreatingpelvicmassoffemalewithguizhifulingcapsules?Methods:Onehundredandfiftysevencasesofpelvicmasshavebeentreatedbyguizhifulingcapsulefor3mont
4、hs,30caseswereleiomyomaoftheuterus,31caseswereadenomyosis,38caseswereovariancystsofsimplicityand58caseswereendometrioma.ToobservetheimprovementofsymptomandthechangesofmassessizebyBultrasonic.Results:Thetotaleffectiverateofovariancystsofsimplicity,endometrioma,adenomyosisandleiomyomaoft
5、heuterus,were92.11%,77.59%,74.19%,70.00%,respectively.Thebiggestdiameterofleiomyomaorcystsin5cmaboveweresignificantlydifferentfromthatin5cmbelow(PV0?05~0?01),5cmbelowwasbetter.But,nostatisticallysignificantdifferenceswereobservedinunimyomawhencomparedwiththemultimyoma(P>0.05);thesameas
6、endometriomaintheuterusof8weeksbelowcomparedwiththatof8weeksabove(P>0.05).Itsuggeststhelesscyst,leiomyomaoruterus,thebettertreatingeffect.Whenwecompareovariancystsofsimplicitywithothers,statisticallysignificantdifferenceswereobserved(P<0.05?0.01)andthecurativeeffectisthebest?Conclusion
7、:Guizhifulingcapsulesshowevidenteffectinimprovementofclinicalsymptomsinleiomyomaofuterus,ovariancystsofsimplicity,endometriomaandadenomyosis.Keywords:guizhifulingcapsule;pelvicmass;treatment子宮肌瘤、子宮腺肌癥、卵巢囊腫是婦科常見(jiàn)病、多發(fā)病,常發(fā)生于育齡期婦女。目前,國(guó)內(nèi)外尚無(wú)理想的藥物,現(xiàn)代西供以手術(shù)作為其主要的治療方法,但對(duì)一些小型的卵巢囊腫、子宮肌瘤、子宮腺肌癥及尚無(wú)明