The standardization of traditional chinese medicine in refractory gastroesophageal reflux disease
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This study retrospectively analyzed 31 postmenopausal women treated with laparoscopic surgery for ovarian endometriosis, finding radical surgery critical for diagnosis and treatment due to atypical presentation.
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Abstract
Objective
To evaluate the effectiveness and safety of postmenopausal ovarian endometrial cyst.
Methods
From Jun. 2010 to Jun. 2015, there were 31 patients of postmenopausal ovarian endometriosis treated with laparoscopic surgery in our hospital. Clinical data were analyzed retrospectively.
Results
The average age was (55.39 ± 5.81) years old. The average period of menopause was (5.67 ± 5.32) years(95% CI 3.56-7.77).4 patients had the history of EMs, with 3 patients had received surgery. Chief complaint included 29 cases of pelvic mass, 6 cases of chronic pelvic pain, 1 case of postmenopausal vaginal bleeding. Endometriosis were preoperatively considered in 16 cases. All patients underwent radical surgery. Stages of r-AFS were 11 cases of stage Ⅰ and Ⅱ, 20 cases of stage Ⅲ and Ⅳ. The final pathologic findings of 31 cases were endometriosis with leiomyoma in 3 cases, adenomyosis in 5 cases, benign ovarian tumor in 4 cases and ovarian cancer in 3 cases.
Conclusions
Postmenopausal ovarian endometriosis was most likely the persistence of premenopausal endometriosis. Because its clinical picture was atypical, it was often misdiagnosed. The radical surgery was the critical methods for diagnosis and treatment.
Key words:
Postmenopause; Endometriosis; Diagnosis; Therapy
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Objective
To investigate the effects of traditional Chinese medicine in refractory gastroesophageal reflux disease patients who failed in the PPI Treatment.
Methods
78 refractory GERD patients were diagnosed by their clinical symptoms and the corresponding herb medicine was prescribed.The objective exams of esophagus pressure, PH monitor, the scale scores were measured to evaluate the effect.
Results
After 4 weeks treatment, effective rate of symptom remission was 85.8%(67/78). There were significant differences decrease in the pressure(P<0.05). The symptom scores improved after traditional Chinese medicine treatment.24-hour esophageal pH and DeMeester score before and after treatment indicate no significant difference.The resting pressure of the lower esophagus sphincter improved(P<0.05).
Conclusion
Chinese traditional medicine is helpful to GERD patients who failed with PPI.Herb medicine can be used as an alternative treatment in clinic.
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