ZHOU Lu, ZHAO Shanqiong, CHANG Shuhua. Fifty Cases of Intrauterine Adhesion after Operation Treated by Tonifying Kidney and Activating Blood Cyclic Therapy Combined with Chemical Medicine[J]. Journal of Traditional Chinese Medicine2015, 56(7): 586-589.
ZHOU Lu, ZHAO Shanqiong, CHANG Shuhua. Fifty Cases of Intrauterine Adhesion after Operation Treated by Tonifying Kidney and Activating Blood Cyclic Therapy Combined with Chemical Medicine[J]. Journal of Traditional Chinese Medicine2015, 56(7): 586-589.DOI: 10.13288/j.11-2166/r.2015.07.013.
Objective To observe the effect of tonifying kidney and activating blood combined with cyclic therapy on transcervical resection of adhesions( TCRA) and on endometrial environment. Methods Totally 100 cases of intrauterine adhesions after-surgery patients were equally randomized into test group and control group. The control group was given cycles of treatment with Estradiol Valerate Tablets and progesterone capsules; the test group was given Chinese medicine therapy of tonifying kidney and activating blood circulation cycle based on the medication of control group. Both groups were treated for 3 menstrual cycles. Endometrial thickness and blood flow in two groups of patients were observed before and after treatment
and the menstruation recovery effect and intrauterine adhesion effect were determined. Results Total effectiveness of the recovery of menstruation and uterine cavity adhesion of the test group were respectively 84% and 88%
while those of the control group were 70% and 76%
respectively. The test group was significantly better than the control group( P < 0. 05). Endometrial thickness was significantly increased in test group after treatment
the endometrial blood flow parameters PI
RI were decreased
and patient number of endometrial perforating blood flow grade Ⅲ level increased significantly( P < 0. 05). After the treatment
the thickness of endometrium of the test group is obviously higher than that of control group
and patients number of endometrial perforating blood flow grade Ⅲ level is obviously more than the control group( P < 0. 05). Conclusion Tonifying kidney and activating blood cycle therapy combined with western medicine can improve the endometrial thickness of the patients after the operation of adhesion of the uterine cavity
increase uterine endometrial blood flow
and is conducive to the recovery of menstruation while preventing uterine cavity adhesion again.