宫腔镜下输卵管介入加中药灌肠并理疗治疗输卵管阻塞的临床研究

发布时间：2018-11-24 17:53

【摘要】：目的:采取宫腔镜下输卵管介入配合中药灌肠、理疗治疗输卵管阻塞,探讨综合治疗输卵管阻塞的有效方法。方法:选择2012年4月~2014年4月经子宫输卵管造影(HSG)证实输卵管阻塞患者98例,随机分为治疗组50例、对照组48例,统一采用宫腔镜下输卵管介入术,治疗组术后2d行中药灌肠结合理疗治疗1疗程,对照组不做治疗。两组均于下次月经净后3-7天,行HSG复查,对比其治疗效果。结果:输卵管再通率:手术中治疗组与对照组分别是94.56%、94.38%,无显著差异(P0.05);下次月经净后HSG复查输卵管通畅率:治疗组与对照组分别是88.04%,69.66%,有显著差异(P0.05);再粘连率:治疗组与对照组分别是6.89%、26.19%,有极显著差异(P0.01);妊娠率:治疗组与对照组分别是32%、12.5%,有显著差异(P0.05);异位妊娠发生率:治疗组与对照组分别是0、33.33%,有显著差异(P0.05)。结论:宫腔镜下输卵管介入是治疗输卵管阻塞的直接手段,中药灌肠结合理疗能有效防止已疏通输卵管再粘连,使输卵管尽快恢复畅通、蠕动、拾卵功能,是综合治疗输卵管阻塞的有效方法。
[Abstract]:Objective: to study the effective treatment of tubal obstruction by hysteroscopic tubal intervention and traditional Chinese medicine enema. Methods: 98 patients with tubal obstruction confirmed by hysterosalpingography from April 2012 to April 2014 were randomly divided into treatment group (n = 50) and control group (n = 48). The treatment group was treated with traditional Chinese medicine enema combined with physiotherapy 2 days after operation, while the control group was not treated. HSG was performed on 3-7 days after the next menstrual period in both groups. Results: the recanalization rate of fallopian tube in the operation group and the control group were 94.56 and 94.38, respectively, with no significant difference (P0.05). The rate of fallopian tube patency in the treatment group and the control group was 88.04 and 69.66, respectively, with significant difference (P0.05). The rate of readhesion was 6.89 and 26.19 in the treatment group and the control group, respectively (P0.01), and the pregnancy rate in the treatment group and the control group was 320.12.5g (P0.05), and there was significant difference between the treatment group and the control group (P0.05). The incidence of ectopic pregnancy: treatment group and control group were 0, 33.33, there was significant difference (P0.05). Conclusion: hysteroscopic tubal intervention is a direct method for the treatment of tubal obstruction. Traditional Chinese medicine enema combined with physiotherapy can effectively prevent fallopian tube from readhesion, so that fallopian tube can recover unobstructed, peristalsis and egg collecting function as soon as possible. It is an effective method for the treatment of fallopian tube obstruction.
【作者单位】：淄博市桓台县计划生育服务站;
【分类号】：R711.6

【参考文献】