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目的:研究并探讨子宫内膜异位症经手术治疗加减补肾祛瘀汤对患者的妊娠情况的影响因素。方法:选取医院2007—2013年共150例子宫内膜异位症且有生育要求的女性患者,统计患者的子宫内膜异位症的临床期别、子宫内膜异位囊肿直径以及患者年龄等几大因素,通过术后回访及电话随访了解患者妊娠情况,分析以上几种因素对妊娠率的影响。结果:子宫内膜异位症分期为Ⅰ、Ⅱ、Ⅲ、Ⅳ期的妊娠率分别为52.63%(10/19)、47.82%(11/23)、31.88%(22/69)、05.12%(2/39)。内异症病灶直径<3 cm患者术后妊娠率为55.00%(18/33),3~5 cm者为50.90%(35/69),内异症病灶直径>5 cm患者的经治疗后的妊娠率为37.50%(18/48)。年龄20-25岁者经治疗后的妊娠率为58.69%(27/46),26-30岁妊娠率为30.76%(12/39),>30岁妊娠率为13.84%(9/65),差异均具有统计学意义(P<0.05);治疗后患者痛经症状评分和VAS评分显著下降(P<0.05),疼痛持续时间显著缩短(P<0.05)。结论:患者的治疗年龄越大,期别越晚,病变越重,经手术后加减补肾祛瘀汤治疗后的患者妊娠率越低,对中医结合治疗子宫内膜异位症具有一定的指导性意义。
Objective: To study and explore the influential factors of pregnancy after endometriosis by the operation and treatment of Kidney Quyu Decoction. Methods: A total of 150 female patients with endometriosis and fertility requirements from 2007 to 2013 in our hospital were selected. The clinical stages of endometriosis, the diameter of endometriosis cyst and the age of patients Several major factors, through postoperative visits and telephone follow-up understanding of pregnancy, analysis of the above factors on the impact of pregnancy rate. Results: The pregnancy rates of stage Ⅰ, Ⅱ, Ⅲ and Ⅳ of endometriosis were 52.63% (10/19), 47.82% (11/23), 31.88% (22/69) and 05.12% 2/39). Endometriosis lesions diameter <3 cm The postoperative pregnancy rate was 55.00% (18/33), 3 ~ 5 cm were 50.90% (35/69), endometriosis lesions diameter> 5 cm patients after treatment The pregnancy rate was 37.50% (18/48). The pregnancy rate was 58.69% (27/46) after treatment. The pregnancy rate was 30.76% (12/39) in 26-30 years old, 13.84% (9/65)> 30 years old, (P <0.05). After treatment, the scores of dysmenorrhea and VAS score decreased significantly (P <0.05), and the duration of pain decreased significantly (P <0.05). Conclusion: The older the patient is, the later the period is, the heavier the lesion. The lower the pregnancy rate after the operation, the more the Kidney Quyu Decoction is treated, which will guide the treatment of endometriosis with traditional Chinese medicine Sexual meaning.