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Clinical Study on Endometrial Ovarian Cyst Treated by Combined Laparoscopy and Chinese Herbal Medicine 被引量:1

Clinical Study on Endometrial Ovarian Cyst Treated by Combined Laparoscopy and Chinese Herbal Medicine
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摘要 Objective: To investigate a new method of combined laparoscopy with Chinese herbal medicine (CHM) in treating endometrial ovarian cyst. Methods: One hundred and fifty two patients with endometrial ovarian cyst were randomly divided into 3 groups treated with three therapies: combined laparoscopy with CHM (combination group), CHM (TCM group) and danazol (WM group). To compare the clinical efficacy and side effects shown by the three groups and to elucidate the therapeutic mechanism by detecting the serum CA 125 reproductive endocrine hormone, plasma prostaglandin F 2α , prostaglandin E 2 etc. Results: The shrinking rate, disappearance rate of the cysts and markedly effective rate in the combination group were obviously higher than those in the TCM group and WM group ( P <0.05, P <0.01). The pregnancy rate of combination group was also higher than that of the WM group ( P <0.05). Few side effects constituted the most prominent advantage for the combination group and TCM group. After treatment, the plasma prostaglandin F 1α lowered remarkably, serum progesterone increased and CA 125 reduced obviously ( P <0.01, P <0.05). Conclusion: The laparoscopy and CHM combination therapy is a new method in treating endometrial ovarian cyst which has significant efficacy, minimal adverse effect and maximal preservation of reproductive function. Objective: To investigate a new method of combined laparoscopy with Chinese herbal medicine (CHM) in treating endometrial ovarian cyst. Methods: One hundred and fifty two patients with endometrial ovarian cyst were randomly divided into 3 groups treated with three therapies: combined laparoscopy with CHM (combination group), CHM (TCM group) and danazol (WM group). To compare the clinical efficacy and side effects shown by the three groups and to elucidate the therapeutic mechanism by detecting the serum CA 125 reproductive endocrine hormone, plasma prostaglandin F 2α , prostaglandin E 2 etc. Results: The shrinking rate, disappearance rate of the cysts and markedly effective rate in the combination group were obviously higher than those in the TCM group and WM group ( P <0.05, P <0.01). The pregnancy rate of combination group was also higher than that of the WM group ( P <0.05). Few side effects constituted the most prominent advantage for the combination group and TCM group. After treatment, the plasma prostaglandin F 1α lowered remarkably, serum progesterone increased and CA 125 reduced obviously ( P <0.01, P <0.05). Conclusion: The laparoscopy and CHM combination therapy is a new method in treating endometrial ovarian cyst which has significant efficacy, minimal adverse effect and maximal preservation of reproductive function.
出处 《Chinese Journal of Integrative Medicine》 SCIE CAS 2002年第1期11-15,共5页 中国结合医学杂志(英文版)
关键词 endometrial ovarian cyst LAPAROSCOPY Chinese herbal medicine treatment endometrial ovarian cyst, laparoscopy, Chinese herbal medicine treatment
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  • 1[1]Obs/Gyn Specialty Committee of Chinese Association of Integration of Trad itional and Western Medicine. Criteria of diagnosis and treatment by comb ination of TCM and WM for endometriosis, pregnancy induced hypertension and fema le infertility. Chin J Integr Trad West Med 1991;11(6)∶376-379.
  • 2[2]Zalel Y. Transvaginal sonographic measurements of post menopausal ovar ian volume as a possible detection of ovarian neoplasia. Acta Obstet Gynecol Scand 1 996;75∶668-671.
  • 3[3]Sugimura K. MRI in predicting the response of ovarian endometriomas to ho rmone therapy. J Comput Assist Tomogr 1996;20∶145-150.
  • 4[4]Faycz JA. Comparison of different treatment methods of endometriomas by l aparoscopy. Obstet Gynecol 1991;78∶660-665.

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