DOI QR코드

DOI QR Code

난소낭종 파열 후 발생한 급성 골반통에 대해 청포축어탕 가감방을 포함하는 한의치료 경과 : 증례보고

Combination Treatment of Korean Medicine with Chungpochukeo-tang for Acute Pelvic Pain by Ruptured Ovarian Cyst : 2 Cases Report

  • 정소미 (경희대학교 대학원 임상한의학과) ;
  • 윤예슬 (동신대학교 한의과대학 부인과교실) ;
  • 이진무 (경희대학교 한의과대학 부인과교실) ;
  • 이창훈 (경희대학교 한의과대학 부인과교실) ;
  • 장준복 (경희대학교 한의과대학 부인과교실) ;
  • 양승정 (동신대학교 한의과대학 부인과교실) ;
  • 조성희 (동신대학교 한의과대학 부인과교실)
  • Jeong, So-Mi (Dept. of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • Yun, Ye-Seul (Dept. of Gynecology, College of Korean Medicine, Dong-Shin University) ;
  • Lee, Jin-Moo (Dept. of Gynecology, College of Korean Medicine, Kyung Hee University) ;
  • Lee, Chang-Hoon (Dept. of Gynecology, College of Korean Medicine, Kyung Hee University) ;
  • Jang, Jun-Bock (Dept. of Gynecology, College of Korean Medicine, Kyung Hee University) ;
  • Yang, Seung-Jeong (Dept. of Gynecology, College of Korean Medicine, Dong-Shin University) ;
  • Cho, Seong-Hee (Dept. of Gynecology, College of Korean Medicine, Dong-Shin University)
  • 투고 : 2022.03.17
  • 심사 : 2022.05.27
  • 발행 : 2022.05.27

초록

Objectives: This case report aims to report the clinical effectiveness of the combination treatment of Korean medicine on acute pelvic pain followed by ruptured ovarian cyst. Methods: The patients who diagnosed with ruptured ovarian cyst complained of acute pelvic pain, lower abdominal pain, abdomen distention, constipation, lower back pain and dysuria. They received combination treatment of Korean medicine during hospitalization. The treatment included Chungpochukeo-tang, acupuncture, moxibustion, and pharmacoacupuncture. The effects were evaluated through Numeric Rating Scale (NRS). Results: After the treatment, the clincial symptoms such as acute pelvic pain, lower abdominal pain, abdomen distention, constipation, lower back pain and dysuria were improved. Conclusions: This case report shows that the combination treatment of Korean medicine with Chungpochukeo-tang may be effective for treating acute pelvic pain by ruptured ovarian cyst.

키워드

참고문헌

  1. Korean Society of Obstetrics and Gynecology. Gynecology. Seoul:Publishing Co. Korea medicine. 2018:411-21.
  2. Bottomley C, Bourne T. Diagnosis and management of ovarian cyst accidents. Best Pract Res Clin Obstet Gynaecol. 2009;23(5):711-24. https://doi.org/10.1016/j.bpobgyn.2009.02.001
  3. Lee YM, Jeong NH, Lee BY. Retrospective study of functional ovarian cysts on ultrasonographic findings. Obstetrics & Gynecology Science. 2009;52(7):746-51.
  4. Kim DW, et al. Massive hemoperitoneum from spontaneous venous rupture overlying a uterine myoma: A case report. Obstetrics & Gynecology Science. 2008;51(11):1402-05.
  5. Dewey K, Wittrock C. Acute Pelvic pain. Emerg Med Clin North Am. 2019;37(2):207-18. https://doi.org/10.1016/j.emc.2019.01.012
  6. The Society of Korean Medicine Obstetrics and Gynecology. Oriental Obstetrics & Gynecology. Seoul:Publishing Co. Eui Seong Dang. 2012:86-98.
  7. Kim JH. Oriental Medical Treatment on the Ovarian Cyst. Journal of Korean Obstetrics & Gynecology. 2000;13(2):252-64.
  8. Kim DI. A Review of Ovarian Cyst Management in Oriental Medicine. Journal of Korean Obstetrics & Gynecology. 2007;20(4):175-90.
  9. Kang S, et al. Clinical Case report on Ovarian cyst treated with Gyejibokryeong-hwan. Journal of Korean Obstetrics & Gynecology. 2000;13(2):399-406.
  10. Kim DI, et al. A case report about recurrent ovarian cyst which suggested cyst-adenoma. Journal of Korean Obstetrics & Gynecology. 2003;16(2):215-24.
  11. Lee YJ, et al. Treatment of the chronic pelvic pain and complications of post-ovarian cystectomy with laparoscopy: a case report. Journal of Korean Obstetrics & Gynecology. 2006;19(4):287-97.
  12. Legendre G, et al. Relationship between ovarian cysts and infertility : what surgery and when? Fertil Steril. 2014;101(3):608-14. https://doi.org/10.1016/j.fertnstert.2014.01.021
  13. McWilliams G, Hill MJ, Dietrich CS. Gynecologic emergencies. Surg Clin North Am. 2008;88(2):265-83. https://doi.org/10.1016/j.suc.2007.12.007
  14. Kim JH, et al. Successful Conservative Management of Ruptured Ovarian Cysts with Hemoperitoneum in Healthy Women. PLoS One. 2014;9(3):e91171 (doi: 10.1371/journal.pone.0091171.)
  15. Nowak-Psiorz I, et al. Treatment of ovarian endometrial cysts in the context of recurrence and fertility. Adv Clin Exp Med. 2019;28(3):407-13. https://doi.org/10.17219/acem/90767
  16. Henes M, et al. Ovarian cyst removal influences ovarian reserve dependent on histology, size and type of operation. Womens Health(Lond). 2018;14:1745506518778992. (doi: 10.1177/1745506518778992.)
  17. Kim HG, et al. Clinical Characteristics and History of Patients with Hemoperitoneum due to Ovarian Cyst Rupture. Journal of the Korean Society of Emergency Medicine. 2010;21(6):840-3.
  18. Karcioglu O, et al. A Systematic Review of the Pain Scales in Adults: Which to Use? Am J Emerg MEd. 2018;36(4):707-14. https://doi.org/10.1016/j.ajem.2018.01.008
  19. Bae GM, et al. Investigation of Various Remedies of Ovarian Cyst except Oral Decoction of Medical Ingredients in Chinese Medicine Journal. Journal of Korean Obstetrics & Gynecology. 2009;22(3):152-68.
  20. Lee KS, Song BK. Clinical observation on Cheongpochookeo-tang. The Journal of Oriental Obstetrics & Gynecology. 1987;1(1):33-7.
  21. Gang SH, Choi SH, Ahn KS. Experimental Studies on the Effect of Qingbaozhuyutang, Bee Veenom on the Blood Stasis Pattern. Journal of Korean Medicine. 1995;16(1):351-69.
  22. Hong KK, et al. Inhibitory effects of Cheonpochukeo-tang on LPS-induced Inflammation Model. Journal of Korean Obstetrics & Gynecology. 2021;34(4):12-29. https://doi.org/10.15204/JKOBGY.2021.34.4.012
  23. Lee YM, et al. Clincial Study for Ovarian cysts treated by Warm Needle Thearpy with Decoction(溫鍼灸加中藥治療卵巢囊腫療效觀察). Chinese Acupuncture & Moxibustion. 2000;25(8):537-8.
  24. Fan Qu, Jue Zhou. Pedicle torsion of ovarian cyst and acupuncture, A case report. Acupunct Med. 2006;24(3):134-6. https://doi.org/10.1136/aim.24.3.134