改进输卵管造影法结合中药治疗输卵管阻塞不孕症的临床研究  

Clinical Research of Salpingography Improvement Combining Traditional Chinese Medicine in Treatment of Tubal Obstructive Barrenness

作　　者：蔡和 周芸 汤永强 邓奇凯 周素英 张欣 

机构地区：[1]江西省铅山县中医院,铅山334500

出　　处：《实用中西医结合临床》2008年第5期3-4,23,共3页Practical Clinical Journal of Integrated Traditional Chinese and Western Medicine

基　　金：江西省卫生厅中医药科研基金课题(课题编号2006A14)

摘　　要：目的:改进子宫输卵管造影体位,利用推注液体压力、重力通开粘连阻塞输卵管,结合中药治疗,提高受孕率。方法:82例不孕症患者:30例均取常规仰卧造影体位,为对照组;52例均取改进后的俯卧或仰卧诊视床头低足高25°～35°造影体位,为治疗组,两组病例均结合中药治疗,观察不孕症患者怀孕的情况。结果:两组病例的照片质量A等级及通开粘连阻塞输卵管结合中药治疗受孕率比较,治疗组明显优于对照组(P<0.01)。结论:根椐子宫不同的位置,采用改进子宫输卵管造影法,可以提高照片质量及通开粘连阻塞输卵管率,结合中药活血化瘀、清热解毒疗法,不孕症患者受孕率明显增高。Objective：To study the methods of improving the quality of hysterosalpingography by individualizing the patient position of examination, through using the pressure and gravity of liquid injection to open the adhesion of fallopian tube obstruction, and combining traditional Chinese medicine therapy to improve the pregnancy rate. Methods： 82 cases of barrenness patients were divided into two groups.30 cases of control group underwent hysterosalpingography in conventional supine position, 52 cases of treatment group were examined in prone position or supine position in the treatment bed with head side lowered and foot side higher for 25° -35° . Patients in two group were both treated with orally administrated Chinese medicine and retention enema. The pregnant situation of barrenness patients in two groups were compared. Results： Treatment group can be better than control group in respect of the quality of hysterosalpingography, open-adhesion of tubal obstruction and pregnancy rate which treated by traditional Chinese medicine, and there was significant difference （P 〈0.01） .Conclusion：Hysterosalpingography with individualized patient position combining traditional Chinese medicine by promoting blood circulation and removing blood stasis,and by cleating heat and detoxicating therapy can cause a higher pregnancy rate obviously.

关 键 词：改进造影法 输卵管阻塞不孕症 中医药疗法 

分 类 号：R711.6[医药卫生—妇产科学]