摘要
目的探讨宫腹腔镜联合手术配合术后中药通管复元汤治疗输卵管阻塞性不孕症的效果。方法双侧输卵管阻塞的62例不孕症患者,随机分为两组:研究组32例,行宫腹腔镜联合手术,配合术后中药通管复元汤治疗;对照组30例,单纯行宫腹腔镜联合手术,术后两组均给抗生素预防性治疗3个月。结果研究组和对照组术中输卵管通畅率分别为96.9%、98.3%,差异无统计学意义(P>0.05)。术后1年宫内妊娠率,研究组84.4%,对照组43.3%,两组有统计学差异(P<0.01)。结论宫腹腔镜联合手术配合术后中药通管复元汤能有效防治输卵管阻塞再通术后粘连,明显提高手术成功率及术后妊娠率。
ObjectiveTo explore the effect of Tongguanfuyuan decoction administration following hysteroscopy combined with laparoscopy for pregnancy rate caused by fallopian tube obstruction. Methods62 cases of double fallopian tube obstruction were randomized into two groups, including research group of 32 cases received Tong-guanfuyuan decoction following hysteroscopy combined with laparoscopy, and control group of 30 cases received surgery only, both groups were given antibiotics to preventive treatment for three months.ResultsThe post-opera-tive patency rate of fallopian tube was 96.9% and 98.3% in the research and control group respectively. The one-year intrauterine pregnancy rate was 84.4% and 43.3% in the research and control group respectively. There were significant differences of the one-year intrauterine pregnancy rates between the two groups （P 〈0.01）.Conclusion It can achieve a recommendable effect of hysteroscopy combined with laparoscopy followed by Tongguanfuyuan de-coction for pregnancy rate caused by fallopian tube obstruction,concluded from the prevention of post-operative con-glutination, increasing the operative achievement ratio,and post-operative pregnancy rate.
出处
《中国内镜杂志》
CSCD
北大核心
2009年第2期174-177,共4页
China Journal of Endoscopy
基金
湖南省自然科学基金项目(05JJ40026)
关键词
宫腔镜
腹腔镜
输卵管阻塞
妊娠率
hysteroscopy
laparoscopy
fallopian tube obstruction
pregnancy rates
