【摘要】 目的观察超声在自凝刀经阴道射频结合中药治疗功能性子宫出血的应用效果。方法随机将甘肃省天水市中医医院功能性子宫出血患者93例分为对照组和治疗组。对照组48例给予纯西医治疗,治疗组45例选择西医结合我院自拟中药口服进行治疗,并选择43例健康志愿者为正常组,平均年龄(46.5±3.2)岁。根据两组患者治疗前后临床疗效及超声动态观察结果,与正常组进行比较和评估。结果治疗前,两组月经前子宫内膜厚度、血红蛋白与正常组比较,差异有统计学意义,(P<0.01);治疗后两组月经前子宫内膜厚度、血红蛋白与正常组比较,差异无统计学意义(P>0.01)。在临床药效方面,治疗组总有效率为88.89%(30/45),明显高于对照组的总有效率[79.16%(27/48)],两组相比差异有统计学意义(P<0.05)。结论超声在功能性子宫出血诊断、射频治疗、术后疗效判定中均可以进行实时监控,减少盲目消融所带来的疼痛与痛苦,配合我院自制中药海茜宁宫胶囊治愈率高,具有较好的临床应用价值。更多还原

【Abstract】 OBJECTIVETo obserbe the application effect of ultrasound in self-congealing knife transvaginal radio frequency combinedwith traditional Chinese medicine used for the treatment of dysfunctional uterine bleeding. METHODS 93 cases patients were random-ly divided into treatment group(45 cases) and control group(48 cases),at the same time choose 43 cases of healthy volunteers asthe normal group, age were(46.5 ± 3.2). Combined with traditional Chinese medicine treatment group patients by ultrasound-guidedself-congealing knife radiofrequency treatment of clinical research analysis. RESULTS Treatment group’s total effectiveness was88.89%(30/45), control group’s total effective rate was 79.16%(27/48), the difference was statistically significant(P<0.05). CONCLUSION Ultrasound in the diagnosis and radiofrequency treatment of dysfunctional uterine bleeding could be real-time monitoring,reduce the blind melting the pain and suffering, cooperate with our homemade sea skirted the kremlin capsule cure rate was high.Chinese traditional medicine had better clinical application value.更多还原