彭皇青 周月娟 黄津伶

【摘要】 目的：研究白及三七散加味治疗子宫切口憩室的临床效果。方法：选取2016年5月-2019年5月本院收治的100例子宫切口憩室患者作为研究对象，按随机数字表法将其分为对照组和治疗组，各50例。对照组给予常规避孕药去氧孕烯炔雌醇片周期性治疗，治疗组用白及三七散加味治疗。于治疗6个月后，比较两组治疗效果、经期天数及子宫切口憩室平均直径。结果：治疗组总有效率高于对照组，差异有统计学意义（P<0.05）。治疗后，治疗组经期天数与对照组比较更短，子宫切口憩室与对照组比较更小，差异均有统计学意义（P<0.05）。结论：白及三七散加味有收敛止血、活血祛瘀之功，治疗子宫切口憩室效果显著。

【关键词】 白及三七散加味 去氧孕烯炔雌醇片 子宫切口憩室 剖宫产

[Abstract] Objective： To study the clinical effect of Modified Baiji Sanqi Powder in uterine incision diverticulum. Method： A total of 100 patients with uterine incision diverticulum admitted to our hospital from May 2016 to May 2019 were selected as the research objects， they were divided into the control group and the treatment group according to the random number table method， 50 cases in each group. The control group took the conventional cycle therapy with Ethinyl Estradiol Tablets， the treatment group took the Modified Baiji Sanqi Powder. After 6 months of treatment， treatment effect， number of menstrual periods and average diameter of uterine incision diverticulum were compared between the two groups. Result： The total effective rate of the treatment group was higher than that of the control group， with statistically significant difference （P<0.05）. After treatment， the number of menstrual days in the treatment group was shorter than that in the control group， the uterine incision diverticulum was smaller than that in the control group， with statistically significant differences （P<0.05）. Conclusion： The Modified Baiji Sanqi Powder can stop bleeding， activate blood and remove stasis， the effect of treating uterine incision diverticulum is remarkable.

[Key words] Modified Baiji Sanqi Powder Ethinyl Estradiol Tablets Uterine incision diverticulum Cesarean sectionFirst-authors address： Nanchang Hongdu Hospital of TCM， Nanchang 330038， China

剖宮产术后子宫切口憩室是剖宫产术后常见的并发症[1]。子宫切口憩室的病理为子宫切口愈合不良，出现与宫腔相通的腔隙，腔隙内有子宫内膜增生，并随着月经周期发生周期性内膜剥脱并出血，且与宫腔内膜不能同步，出现出血时间延长、不规则出血;又因腔隙内血液和蜕膜排出不畅，瘀血停滞，进一步延长阴道出血时间[2]。多数子宫切口憩室患者表现为经期延长、不规则阴道流血、不孕、痛经、慢性盆腔痛等症状，使患者生活质量严重下降[3]。目前治疗子宫切口憩室的方法包括非手术治疗和手术治疗，非手术治疗主要有避孕药及曼月乐环，手术治疗主要是经腹子宫瘢痕憩室切除、经阴道瘢痕憩室切除术、经宫腔镜瘢痕憩室切除术、经宫腹腔联合瘢痕憩室切除术等。但分析诸多文献记载，以上治疗效果均不理想[4]。为更好地治疗子宫切口憩室，笔者试图从中医中药中探索出一种简单、无创伤、有效的治疗方法，打破目前临床上治疗子宫切口憩室效果欠佳的窘迫局面。……