输卵管再通术、 中药联合用于输卵管梗阻性不孕患者治疗对其梗阻程度、 妊娠情况的影响  

Effect of fallopian tube recanalization combined with traditional Chinese medicine on the obstruction degree and pregnancy in patients with tubal obstructive infertility

作　　者：樊涛[1] 李江鹏[1] 马文娟 王建锋[1] FAN Tao;LI Jiangpeng;MA Wenjuan;WANG Jianfeng(Department of Obstetrics and Gynecology,Xi′an Fourth Hospital,Xi′an 710004,Shaanxi,China)

机构地区：[1]西安市第四医院妇产科,西安710004

出　　处：《中国性科学》2021年第2期55-59,共5页Chinese Journal of Human Sexuality

摘　　要：目的探讨输卵管再通术联合中药治疗输卵管梗阻性不孕患者的临床效果。方法选取2018年3月至2019年3月西安市第四医院诊治的72例输卵管梗阻性不孕患者作为研究对象。按照随机数字表法分为观察组(n=36)和对照组(n=36)。对照组行输卵管再通术治疗,观察组在对照组基础上加服中药治疗。观察并比较两组输卵管梗阻程度改善、输卵管疏通、患者妊娠等情况。结果治疗后,与对照组比较,观察组输卵管Ⅰ度梗阻率显著更低,Ⅴ度梗阻率显著更高,差异具有统计学意义(P<0.05);治疗后,观察组慢性盆腔炎中医症状、体征总积分均显著低于对照组,治疗总有效率显著高于对照组,差异具有统计学意义(P<0.05);观察组复查时输卵管疏通有效率显著高于对照组,1年内妊娠率、宫内妊娠均显著高于对照组,差异具有统计学意义(P<0.05);两组治疗期间均未出现明显不良反应,一般体格检查及心电图、肝肾功能检查均无异常。结论输卵管再通术联合中药治疗输卵管梗阻性不孕,可有效减轻患者输卵管梗阻程度,提高慢性盆腔炎控制、输卵管疏通效果,有助于提高患者宫内妊娠率。Objective To investigate the effect of fallopian tube recanalization combined with traditional Chinese medicine on the obstruction degree and pregnancy in patients with tubal obstructive infertility.Methods 72 patients with tubal obstructive infertility diagnosed and treated in Xi′an Fourth Hospital from March 2018 to March 2019 were selected as the research subjects.According to random number table method,they were divided into observation group(n=36)and control group(n=36).The control group was treated with fallopian tube recanalization,and the observation group was additionally treated with traditional Chinese medicine.The improvement of fallopian tube obstruction,fallopian tube dredging and pregnancy were observed and compared between the two groups.Results After treatment,compared with the control group,the first obstruction degree rate of fallopian tube in the observation group was significantly lower,and the fifth obstruction degree rate was significantly higher(P<0.05).The total score of symptoms and signs of chronic pelvic inflammation in the observation group were both significantly lower than those in the control group,and the total effective rate of treatment was significantly higher than that in the control group(P<0.05).The effective rate of tubal dredging in the observation group was significantly higher than that in the control group,and the pregnancy rate within 1 year and intrauterine pregnancy were significantly higher than those in the control group,with statistical significance(P<0.05).There were no obvious adverse reactions in the two groups during treatment,and there were no abnormalities in general physical examination,ECG,liver and kidney function examination.Conclusions The combination of fallopian tube recanalization and traditional Chinese medicine in the treatment of tubal obstruction infertility can effectively reduce the degree of fallopian tube obstruction,improve the control of chronic pelvic inflammatory disease and the effect of fallopian tube dredging,and help to improve the

关 键 词：输卵管梗阻性不孕 输卵管再通术 中药 梗阻程度 妊娠 

分 类 号：R711[医药卫生—妇产科学]