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Received:March 15, 2018 Published Online:September 20, 2018
Received:March 15, 2018 Published Online:September 20, 2018
中文摘要: 目的 探讨温肾化痰祛瘀方联合高强度聚焦超声治疗子宫肌瘤的临床疗效。方法 将2016年2月至2017年6月收治的94例子宫肌瘤患者随机分为观察组和对照组,每组47例。对照组采用高强度聚焦超声治疗。观察组在对照组的基础上,给予温肾化痰祛瘀方治疗。检测两组患者治疗前后性激素水平;B超检查患者治疗前后肌瘤体积、子宫体积的变化;采用血液流变学检测仪检测患者治疗前后血液流变学指标变化。结果 观察组的总有效率明显高于对照组,差异有统计学意义(91.49% vs 72.34%,P<0.05);观察组治疗后的雌激素、孕酮、卵泡刺激素、黄体生成素明显降低,且明显低于对照组治疗后的水平,差异有统计学意义(P<0.05);观察组治疗后的血液黏度、全血低切黏度、全血高切黏度、血细胞比容明显降低,且显著低于对照组治疗后的水平,差异有统计学意义(P<0.05);两组治疗后的肌瘤体积、子宫体积均明显降低(P<0.05);治疗后,观察组的肌瘤体积[(24.54±5.31)cm3 vs (30.01±6.27)cm3]、子宫体积[(92.37±9.08)cm3 vs (101.43±10.22)cm3]明显低于对照组,差异有统计学意义(P<0.05)。结论 温肾化痰祛瘀方联合高强度聚焦超声治疗子宫肌瘤的疗效确切,能改善性激素及血液流变学的水平。
Abstract:Objective To investigate the clinical effect of Wenshen Huatan Quyu prescription combined high-intensity focused ultrasound in the treatment of uterine fibroid. Methods A total of 94 uterine fibroid patients who received treatment from February 2016 to June 2017 were selected and divided into observation group and control group randomly (47 cases each). The control group patients received high-intensity focused ultrasound, and the observation group patients received Wenshen Huatan Quyu prescription combined high-intensity focused ultrasound. The levels of sex hormones and hemorheology were measured before and after treatment in two groups. B-ultrasonography was used to detect the volume change of myoma and uterus. Results The total efficacy rate in observation group was significant higher than that in control group (91.49% vs 72.34%, P<0.05). After treatment, estrogen, progesterone, follicle stimulating hormone and luteinizing hormone in the observation group were decreased significantly, and they were significant lower than those in the control group (all P<0.05). After treatment, the blood viscosity of the observation group, the low and high shear viscosity of the whole blood and the specific volume of blood cells decreased significantly, and they were significantly lower than those of control group(all P<0.05). The volume of myoma and uterus were decreased after the treatment in both groups(all P<0.05). And the volume of myoma and uterus in observation group were less than those in control group after the treatment [(24.54±5.31)cm3 vs (30.01±6.27)cm3, (92.37±9.08)cm3 vs (101.43±10.22)cm3, all P<0.05]. Conclusion Wenshen Huatan Quyu prescription combined high-intensity focused ultrasound has a reliable curative effect in the treatment of uterine fibroid, which could improve the level of sex hormones and hemorheology.
keywords: Wenshen Huatan Quyu prescription High-intensity focused ultrasound Uterine fibroid Sex hormones Hemorheology
文章编号: 中图分类号:R 711.74 R 243 文献标志码:B
基金项目:
Author Name | Affiliation |
XIANG Li, CAO Li-rong, WANG Zhong-xian | Department of Gynecology, Wuhan No.1 Hospital, Wuhan, Hubei 430000, China |
Author Name | Affiliation |
XIANG Li, CAO Li-rong, WANG Zhong-xian | Department of Gynecology, Wuhan No.1 Hospital, Wuhan, Hubei 430000, China |
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