憩室化瘀汤治疗子宫切口憩室致血瘀型经期延长的临床效果

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Abstract Objective To observe the clinical effect of Qishi Huayu Decoction in the treatment of prolonged menstrual period in the blood stasis pattern caused by uterine incision diverticulum. Methods Totally 84 patients with prolonged menstrual period out of blood stasis caused by uterine incision diverticulum who were treated in the Clinic of Obstetrics and Gynecology, Yueyang Hospital Affiliated to Hu′nan University of Chinese Medicine were selected as the research objects. They were divided into the treatment group and the control group according to the random number table method, 42 cases in each group. The control group took Desogestrel Ethinyl Estradiol Tablets, and the treatment group added Qishi Huayu Decoction on the basis of the control group. After three menstrual cycles of treatment, the time of menstruation, the size of uterine incision diverticulum and the score of traditional Chinese medicine (TCM) syndrome before and after treatment were compared between the two groups, and the treatment effect and incidence of adverse reactions of patients were observed in the two groups. Results The time of menstruation in both groups after treatment was shorter than that before treatment, and the difference was statistically significant (P＜0.05). The width and depth of uterine incision diverticulum after treatment in both groups was smaller than that before treatment, with statistical significance (P＜0.05). The TCM syndrome scores of the two groups after treatment were lower than those before treatment,and the differences were statistically significant (P＜0.05). The improvement of the menstruation time, width and depth of uterine incision diverticulum and TCM syndrome score after treatment in the treatment group were better than those in the control group, and the differences were statistically significant (P＜0.05). The total effective rate of treatment in the treatment group was higher than that in the control group, and the difference was statistically significant (P＜0.05). No adverse reactions occurred in the two groups. Conclusion Qishi Huayu Decoction has obvious curative effect in the treatment of prolonged menstrual period in a blood stasis pattern caused by uterine incision diverticulum. Compared with oral administration of Desogestrel Ethinyl Estradiol Tablets alone, it can better alleviate clinical symptoms and patients′ pain, which is worthy of promotion.

Key words： Incision diverticulum Prolonged menstrual period Blood stasis Chinese medicine

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	LIU Cai-long
	CHENG Min

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LIU Cai-long,CHENG Min. Clinical effect of Qishi Huayu Decoction in the treatment of prolonged menstrual period in the blood stasis pattern caused by uterine incision diverticulum[J]. 中国当代医药, 2020, 27(25): 169-173.

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https://www.dangdaiyiyao.com/EN/ OR https://www.dangdaiyiyao.com/EN/Y2020/V27/I25/169

[1]	陈旭菲，钟梅.卡孕栓联合缩宫素预防妊娠合并子宫瘢痕阴道分娩产后出血的临床分析[J].血栓与止血学，2015，21（1）：38-40.
[2]	陶峰，周颖，胡卫平，等.子宫切口瘢痕憩室的研究进展[J].中华妇产科杂志，2014，49（1）：64-66.
[3]	曲莉，刘秀梅，王秀艳，等.宫腔镜联合腹腔镜修补术与阴式修补术治疗子宫剖宫产切口憩室疗效及预后比较[J].新乡医学院学报，2015，32（10）：940-942.
[4]	脱淑梅，张彦骅，栾桦.宫腹腔镜联合手术与阴式手术治疗子宫瘢痕憩室的随机对照研究[J].卫生职业教育，2016，34（5）：151-152.
[5]	杨红梅，石文艳.子宫剖宫产疤痕缺损诊治[J].医学信息，2015，29（38）：361-362.
[6]	Betran AP，Torloni MR，Zhang JJ，et al.WHO Statement on Caesarean Section Rates[J].BJOG，2016，123（5）：667-670.
[7]	屈航，刘晨，楚光华.剖宫产术后子宫瘢痕憩室的发病原因及诊治现状[J].实用妇科内分泌电子杂志，2019，6（14）：9-13.
[8]	慕容红梅.子宫下段剖宫产术后切口憩室19 例临床分析致经[J].中外妇儿健康，2011，19（5）：112-113.
[9]	Keymer E.Dehiscence of old hysterectomy scar[J].Bol Soc Chil Obstet Ginecol，1955，20（4）：87-90.
[10]	崔燕.米非司酮与妈富隆治疗围绝经期功血的疗效比较分析[J].世界中医药，2015，10（2）：872-873.
[11]	王马列，梁润彩.剖宫产术后子宫切口憩室治疗进展[J].中国实用妇科与产科杂志，2013，29（5）：390-392.
[12]	辛宇红，韩仰东.雌孕激素序贯疗法与妈富隆治疗青春期功血的临床疗效对比[J].陕西医学杂志，2016，45（9）：1206-1207.
[13]	马宝璋.中医妇科学[M].上海：上海科学技术出版社，2003.
[14]	Thurmond AS，Harvey WJ，Smith SA.Cesarean section scar as a cause of abnormal vaginal bleeding：diagnosis by sonohysterography[J].J Ultrasound Med，1999，18（1）：13-16.
[16]	徐秀英.安经汤联合妈富隆治疗青春期功能失调性子宫出血疗效观察[J].四川中医，2015，33（4）：135-138.
[17]	乐杰，谢幸，林仲秋，等.妇产科学[M].7 版.北京：人民卫生出版社，2008：27-218.
[18]	郑筱萸.中药新药临床研究指导原则[M].北京：中国医药科技出版社，2002：85-86.
[19]	国家中医药管理局.中医病证诊断疗效标准[S].南京：南京大学出版社，1994：233.
[20]	谢红宁，林美芳.剖宫产瘢痕妊娠与瘢痕憩室超声诊断及其临床意义[J].中国实用妇科与产科杂志，2018，34（8）：838-841.
[15]	Chen YY，Tsai CC，Kung FT，et al.Association between hysteroscopic findings of previous cesarean delivery scar defects and abnormal uterine bleeding[J].Taiwan J Obstet Gynecol，2019，58（4）：541-544.
[21]	姚敏，陈慧慧，陶洁，等.经阴道修补剖宫产术后子宫切口憩室64 例临床分析[J].中华妇产科杂志，2015，50（7）：500-504.