宫腹腔镜配合中药治疗输卵管性不孕的临床研究
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玉溪市中医医院,云南玉溪653100

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中图分类号:R27114文献标志码:A

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Observation on the Remedy of Hysteroscope And Laparoscope Combined with Chinese Medicine Therapy to treat Infertility Caused by Fallopian Tube Obstruction
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Department of gynaecology and obstetrics of Hospital of Chinese Medicine of Yu Xi, Yunan, Postalcode: 653100,China.

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    摘要:

    目的: 口服中药及中药保留灌肠在治疗盆腔炎性疾病导致输卵管阻塞性不孕的研究。方法:应用宫腔镜、腹腔镜检查及治疗后确诊为盆腔炎性疾病导致输卵管阻塞性不孕患者107人,随机分成手术组37人(A组)、手术+口服中药组30人(B组)、手术+口服中药+中药保留灌肠组40人(C组)。结果:C组的宫内妊娠率(5500%)高于A组(1351%)、B组(2333%);A组与B组宫内妊娠比较差异无显著性(P>005), A组与C组宫内妊娠比较差异有极显著性(P<001),B组与C组宫内妊娠比较差异有显著性(P<005)。结论:对盆腔炎性疾病导致输卵管阻塞性不孕的患者,宫腹腔镜手术治疗后配合口服中药及中药保留灌肠之疗效优于单纯宫腹腔镜手术或宫腹腔镜手术配合口服中药治疗者。

    Abstract:

    Objective:To study the feasibility of application of orally Traditional Chinese Medicine and Chinese herbal retention enema in the treatment of infertility caused by fallopian tube obstruction which results from pelvic inflammatory disease.Methods:the project coordinator made definite diagnosis of infertility caused by fallopian tube obstruction of 107 people from August in 2005 to January 2010 and separated them into 3 groups randomly:37 people in group A were treated exclusively by Operation,while 30 people in group B were treated by Operation,accompanying with orally traditional Chinese medicine treatment at the same time,and 40 people in group C were treated by the combination of operation,orally Traditional Chinese Medicine and Chinese herbal retention enema.Results:1.the rate of peoples uterine pregnancy in group C is 5500%,higher than 1351% in group A and 2333% in group B.2.The difference of uterine pregnancy in group A and group B is not distinctive(P>005),while the difference of that in group A and group C is distinctive(P<0001),and the difference of uterine pregnancy in group B and group C is less distinctive(p<005).Conclusion:For the patients of infertility caused by fallopian tube obstruction which results from pelvic inflammatory disease,treatment of operation via hysteroscope combined with laparoscope coordinating with Chinese Traditional Medicine by Enem-d is a better option than that of exclusive operation via hysteroscope combined with laparoscope and of operation via hysteroscope combined with laparoscope coordinating with orally Traditional Chinese Medicine.So this kind of treatment deserves widely promotion and application.

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