优选输卵管助孕预防异位妊娠的疗效观察  

Observation of the therapeutic effect on the prevention of eccyesis by optimizing fallopian tube to be pregnant

作　　者：何文红 杜文君[1] 刘胡旺 王良放 汤海燕 冯维良[1] 

机构地区：[1]浙江省瑞安市人民医院妇产科分院妇产科,325200

出　　处：《中国医师进修杂志》2010年第6期9-11,共3页Chinese Journal of Postgraduates of Medicine

基　　金：浙江省温州市医药卫生科研项目（2008018）

摘　　要：目的探讨优选输卵管助孕的疗效及预防异位妊娠的效果。方法将379例不孕症患者按随机数字表法分成两组，对照组187例，试验组192例。对照组接受综合优化治疗，试验组接受综合优化治疗及优势输卵管侧助孕治疗。所有患者均接受子宫输卵管造影检查，试验组用超声监测卵泡以确定优势卵泡，均观察6个排卵周期。结果试验组的宫内妊娠率[43．23％（83／192）]明显高于对照组[31．55％（59／t87）]（P〈0．05），异位妊娠率[5．21％（10／192）]明显低于对照组[10．70％（20／187）]（P〈0．05），未受孕率[51．56％（99／192）]与对照组[57．75％（108／187）]比较差异无统计学意义（P〉0．05）。输卵管通而不畅者异位妊娠率[12．59％（18／143）]高于输卵管阻塞[2．63％（2／76）]和输卵管尚通者[2．70％（2／74）]（P〈0．05）。结论通过子宫输卵管造影确定优势输卵管，辅以超声监测卵泡发育确定优势卵泡，可使主卵泡在较好输卵管侧卵巢发育并受孕，提高宫内妊娠率，预防异位妊娠的发生。Objective To explore the therapeutic effect on the prevention of eccyesis by optimizing fallopian tube to be pregnant. Methods Three hundred and seventy-nine patients with infertility were divided into two groups： control group with 187 patients received the combined optimized treatment,and study group with 192 patients received the combined optimized treatment and optimizing fallopian tube to be pregnant. All patients received the hysterosalpingography uterosalpingography （HSU） while the patients of the study group received the ultraphonic monitor for the dominant follicle besides for 6 ovulatory cycle. Results There were intrauterine gestation 59 patients （31.55%, 59/187） , eccyesis 20 patients （ 10.70%, 20/187） and infertility 108 patients （57.75% ,108/187） in control group while there were intrauterine gestation 83 patients （43.23%,83/192）,eccyesis 10 patients （5.21%, 10/192） and infertility 99 patients （51.56% ,99/192） in study group. The intrauterine gestation rate in study group was higher than that in control group （P 〈 0.05 ）, and the eccyesis rate was lower than that in control group （P 〈 0.05 ）. But there was no significant difference in the infertility rate between two groups （P 〉 0.05 ）. The eceyesis rate in fallopian tube unsmooth was higher than that in salpingemphraxis and fallopian tube canalization respecfively[ 12.59% （ 18/143 ）, 2.63% （ 2/76 ）, 2.70% （ 2/74 ）, P 〈 0.05 ]. Conclusion Selecting the optimizing fallopian tube by HSU and monitoring the dominant follicle by uhraphonic to guide pregnancy can let the dominant follicle grow and conceive in the optimizing fallopian tube, and this treatment can raise the intrauterine gestation rate and decrease the cause of eccyesis.

关 键 词：输卵管 子宫输卵管造影术 超声检查 卵泡 妊娠 异位 

分 类 号：R711.6[医药卫生—妇产科学] R711.605[医药卫生—临床医学]