Investigation Of Postoperative Recurrence Of Patients With EMS By Nourishing Yin And Tonifying Yang Sequentially Plus Blood-Stasis-Resolving Combined With GnRH-a

Endometriosis is one of the gynecological disease problems, occurred in many women. It has the property of being aggressive, extensively planted and easy to recurrence and is very similar to malignant tumors. In recent years, the incidence of endometriosis has shown an upward trend year by year.There're expectant therapy, medication, surgery, combination of medication and surgery, ete, in western medicine. Sex hormone is the most popular treatment in medication.There are treatment of retaining reproductive function, retaining ovarian function and radical surgery, which may be used in section or laparoscopic surgery in surgery ways.A variety of surgical treatment can effectively alleviate the short-time symptoms, but the methods have a higher recurrence rate. Therefore, exploring effective treatment methods is a major subject of gynecology profession.Purpose:Investigating the postoperative recurrence of patients with EMS by nourishing yin and tonifying Yang sequentially plus blood-stasis-resolving combined with GnRH-a, including the recurrence of patients and CA125 level.Ways:In order to observe the situation of recurrence, dysmenorrheal and sterility, 60 postoperative cases suffering from EMS were divided into three groups: Chinese medicine group, western medicine group, combination treatment of traditional Chinese medicine with Western medicine treatment group.Results:The combination the treatment of traditional Chinese medicine with modern Western medicine treatment group is superior to either traditional Chinese medicine or western medicine group on the prevention of recurrence after curative effect; when used to improve the situation of dysmenorrhea and infertility, the effect of both combining traditional Chinese with western medicine group and Chinese medicine group alone are significant, and much better than the Western medicine group; The traditional Chinese and western medicine group has shorter time in the use of GnRH-a than Western medicine group, patients can reduce costs, as well as the financial burden of patients; As for the reduction of CA125, all the three groups have a significant effect;The side effects of western drugs can be significantly reduced using the combination method, leading to better patient compliance; With close observation and statistics analysis of the general cases of recurrence and no recurrence, this study shows that: Ems recurrence is closely related to r-AFS staging and postoperative CA125, as well as the degree of pelvic lesions, while the age, history of preoperative pregnancy may relapse protective factors.Conclusion:Nourishing yin and tonifying Yang sequentially plus blood-stasis-resolving combined with GnRH-a can lower the rate of postoperative recurrence in patients with EMS and may delay recurrence, based on the principles of Chinese medicine in prevention and treatment, traditional Chinese and western medicine has better foreground in reducing and delaying its recurrence with certain applications.