臭氧对经产妇输卵管梗阻再通术的疗效观察

发布时间：2018-10-29 17:30

【摘要】：目的探讨输卵管梗阻再通术中臭氧的应用效果。方法经临床和实验室证实的输卵管梗阻患者116例,随机数字表法将患者分为研究组与对照组,每组各58例。所有患者住院期间均接受介入性输卵管再通术治疗。研究组应用臭氧水行输卵管灌注,而对照组则采用常规消炎及防粘连药物溶液。随访6个月,观察统计2组患者妊娠率及输卵管再闭塞率,同时于术后2周对2组患者不适症状进行评价并比较。结果研究组输卵管再通成功率为93.1%(54/58),妊娠率为79.3%(46/58),再发闭塞率为5.2%(3/58)。而对照组输卵管再通成功率为91.4%(53/58),妊娠率为60.3%(35/58),再发闭塞率为17.2%(10/58)。分析显示,2组患者再通成功率差异无统计学意义(P0.05),但研究组妊娠率及再发闭塞率显著高于对照组,差异具有统计学意义(P0.05)。研究组不适症状评分与对照组差异无统计学意义(P0.05)。结论在输卵管再通术中采用臭氧灌注可有效提高术后妊娠率,降低再发闭塞。
[Abstract]:Objective to investigate the effect of ozone during recanalization of fallopian tube obstruction. Methods 116 cases of fallopian tube obstruction confirmed by clinic and laboratory were randomly divided into study group and control group with 58 cases in each group. All patients were treated with interventional fallopian tube recanalization during hospitalization. The study group was perfused with ozone water, while the control group was treated with routine antiinflammatory and anti-adhesion drugs. The pregnancy rate and fallopian tube re-occlusion rate were observed and compared 2 weeks after operation. Results the success rate of fallopian tube recanalization was 93.1% (54 / 58), pregnancy rate was 79.3% (46 / 58), recurrent occlusion rate was 5.2% (3 / 58). In the control group, the success rate of fallopian tube recanalization was 91.4% (53 / 58), the pregnancy rate was 60.3% (35 / 58), and the recurrent occlusion rate was 17.2% (10 / 58). The results showed that there was no significant difference in the success rate of recanalization between the two groups (P0.05), but the pregnancy rate and recurrent occlusion rate in the study group were significantly higher than those in the control group (P0.05). There was no significant difference in the scores of discomfort symptoms between the study group and the control group (P0.05). Conclusion Ozone perfusion during fallopian tube recanalization can effectively increase pregnancy rate and reduce recurrent occlusion.
【作者单位】：河南科技大学临床医学院、河南科技大学第一附属医院;陕西中医药大学第二附属医院介入放射科;陕西中医药大学;
【分类号】：R713.5

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