助孕汤联合宫腔镜插管通液治疗不孕症的疗效观察  

Observation on the effect of Zhuyun decoction combined with hysteroscopy intubation through liquid in the treatment of infertility

作　　者：黄英昌 

机构地区：[1]日照市东港区人民医院妇科,山东省日照276800

出　　处：《中国基层医药》2013年第14期2105-2107,共3页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的观察助孕汤联合官腔镜插管通液治疗输卵管阻塞性不孕症的疗效。方法114例输卵管阻塞性不孕症患者按照治疗方法的不同分为观察组和对照组，每组57例，对照组采用宫腔镜插管通液术治疗，观察组在对照组的基础上术前服用助孕汤治疗，比较两组治疗效果、输卵管疏通效果、妊娠时间以及卵巢动脉血流参数的变化。结果观察组总有效率为75．4％，显著高于对照组的50．8％（X2=3．87，P〈0．05）。观察组输卵管疏通率为80．8％，显著高于对照组的60．4％（x2=3．85，P〈0．05）。观察组有妊娠的患者平均妊娠时间为（9．5±2．4）个月，显著短于对照组的（11．2±1．8）个月（t=4．59，P〈0．05）。观察组治疗后搏动指数（PI）和阻力指数（RI）的改善显著优于对照组（t=3．12、2.25，均P〈0．05）。结论助孕汤联合官腔镜插管通液可促进输卵管阻塞性不孕症患者的输卵管疏通，提高妊娠率，缩短妊娠时间，且无损伤，值得临床推广。Objective To investigate the effect of Zhuyun decoction combined with hysteroscopy intubation through liquid in treatment of the oviduct obstructive infertility. Methods 114 cases with oviduct obstructive infertil- ity were divided into the observation group and the control group according to different treatments, 57 cases in each group. The control group was given hysteroseopic eannulation hydrotubation treatment, the observation group was given Zhuyun decoction on the basis of the control group. The clinical effects were compared between two groups. Results The total effective rate of the observation group was 75.4% ,which was higher than 50.8% in the control grouP（X2 =3.87,P 〈0.05）. Fallopian tube dredging rate was 80.8% in the observation group,which was significantly higher than 60.4% in the control group （ X2 = 3.85,P 〈 0.05）. Pregnancy average gestation time was （ 9.5 ± 2.4） months in the observation group, which was significantly shorter than （ 11.2 ±1.8 ） months in the control group （t = 4.59 ,P 〈 0.05 ）. The improvement of pulsatility index（PI） and resistance index （RI） in the observation group was significantly better than those in the control group （ t = 3.12,2.25, all P 〈 0.05 ）. Conclusion Zhuyun decoction combined with hysteroscopy intubation through liquid can promote the oviduct obstructive infertility patients with fallo- pian tube dredging, increase pregnancy rate, shorten the time of pregnancy, and has no damage, which is worthy of clinical application.

关 键 词：不育 女(雌)性 输卵管疾病 宫腔镜检查 医学 传统 

分 类 号：R711.6[医药卫生—妇产科学]