腹腔镜输卵管术后不同时间使用羧氨基葡聚多糖钠生物胶体液进行子宫输卵管通液疗效比较

发布时间：2018-06-29 11:36

本文选题：羧氨基葡聚多糖钠生物胶体液 + 子宫输卵管通液　；参考：《中国新药与临床杂志》2015年05期

【摘要】：目的探讨羧氨基葡聚多糖钠生物胶体液在输卵管妊娠行腹腔镜输卵管手术妇女术后不同时间内进行子宫输卵管通液治疗的临床疗效。方法选取本院2012年至2014年间因输卵管妊娠行腹腔镜输卵管手术后有生育要求妇女149例,将行腹腔镜输卵管手术未满6个月的87例妇女设为观察组,将输卵管手术满1年以上但以后未做任何检查及治疗的62例妇女设为对照组。两组每月使用羧氨基葡聚多糖钠生物胶体液进行输卵管通液术一次,连续3次。观察比较两组输卵管通畅情况和1年内妊娠情况。结果输卵管通液术前两组输卵管通畅情况无显著差异(P0.05)。通液术治疗3个月后,观察组通畅占71%、通而不畅29%、阻塞0;对照组通畅占5%、通而不畅53%、阻塞42%,观察组通液术有明显的疏通效果,两组输卵管通畅情况有非常显著差异(P0.001)。观察组1年内有40例妊娠(46%),对照组妊娠18例(29%),两组有显著差异(P0.05)。两组不良反应症状均较轻,不良反应发生率无显著差异(P0.05)。结论输卵管妊娠行腹腔镜输卵管术后尽早进行羧氨基葡聚多糖钠生物胶体液宫腔输卵管疏通,有利于提高输卵管疏通率和妊娠率。
[Abstract]:Objective to investigate the clinical effect of hysterosalpingocele in women with tubal pregnancy treated with carboxyaminoglycostaphylococcal polysaccharide (CMPS) bicolloid at different time after laparoscopic tubal surgery. Methods from 2012 to 2014, 149 women with fertility requirements after laparoscopic tubal surgery for tubal pregnancy were selected. 87 women who had undergone laparoscopic tubal surgery for less than 6 months were selected as observation group. 62 women who had been operated on fallopian tube for more than one year without any examination and treatment were set up as control group. The two groups were treated with carboxyaminoglycoglucomannan sodium biogel once a month for 3 consecutive times. The patency of oviduct and pregnancy within one year were observed and compared between the two groups. Results there was no significant difference in tubal patency between the two groups before operation (P0.05). After 3 months of treatment, the observation group had 71patency, 29 patency, 0 obstruction, 5 patency in the control group, 53 patency in the control group, and 42 obstruction in the control group. The patency of the oviduct was significantly different between the two groups (P0.001). There were 40 pregnancies (46%) in the observation group and 18 cases (29%) in the control group. There was significant difference between the two groups (P0.05). There was no significant difference in the incidence of adverse reactions between the two groups (P0.05). Conclusion the fallopian tube dredging with carboxyaminoglycans sodium biogel solution after laparoscopic tubal operation is beneficial to improve the rate of tubal unblocking and pregnancy.
【作者单位】：海口市妇幼保健院妇科;
【分类号】：R711.6

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