中药灌肠及口服联合输卵管介入再通术治疗湿热瘀阻型输卵管阻塞性不孕症的效果观察  

Observation on the efficacy of traditional Chinese medicine enema and oral combined with tubal recanalization in the treatment of tubal obstruction infertility with dampness and heat stasis

作　　者：廖建梅 张强 余婕 LIAO Jianmei;ZHANG Qiang;YU Jie(Department of Gynecology,Women and Children’s Hospital Affiliated to the School of Medicine,University of Electronic Science and Technology(Chengdu Women and Children’s Central Hospital),Chengdu 611731,Sichuan,China)

机构地区：[1]电子科技大学医学院附属妇女儿童医院(成都市妇女儿童中心医院)妇科,成都611731

出　　处：《中国性科学》2021年第9期122-124,共3页Chinese Journal of Human Sexuality

摘　　要：目的观察中药灌肠及口服联合输卵管介入再通术治疗湿热瘀阻型输卵管阻塞性不孕症的临床疗效。方法选取2017年1月至2019年1月电子科技大学医学院附属妇女儿童医院(成都市妇女儿童中心医院)接受输卵管阻塞性不孕症治疗的120例湿热瘀阻型患者作为研究对象。根据入院的时间先后进行排号,采用随机数字法平均分为两组,每组60例。其中观察组采用中药灌肠及口服联合输卵管介入再通术治疗,对照组采用输卵管介入再通术。对两组的妊娠结局、并发症和输卵管再通的有效率进行观察和分析。结果两组宫内妊娠率比较,观察组显著高于对照组,差异具有统计学意义(P<0.05);两组异位妊娠率比较,观察组显著低于对照组,差异具有统计学意义(P<0.05);两组术后并发症比较,观察组显著低于对照组,差异具有统计学意义(P<0.05);两组治疗总有效率比较,观察组显著高于对照组,差异具有统计学意义(P<0.05)。结论在输卵管介入再通术的基础上联合中药灌肠及口服进行治疗,能够显著提高宫内妊娠率和输卵管再通率,降低并发症发生率,值得在湿热瘀阻型输卵管阻塞性不孕症中进行应用。Objective To observe the clinical efficacy of Chinese medicine enema and oral combined with tubal recanalization in the treatment of tubal obstruction infertility with dampness and heat stasis.Methods 120 patients with damp-heat stasis type who received treatment for fallopian tube infertility in Women and Children's Hospital Affiliated to the School of Medicine,University of Electronic Science and Technology(Chengdu Women and Children's Central Hospital)from January 2017 to January 2019 were selected as the observation subjects.According to the time of admission,the patients were randomly divided into two groups,each group with 60 cases.The observation group was treated with traditional Chinese medicine enema and oral administration combined with tubal interventional recanalization,while the control group was treated with tubal interventional recanalization.The pregnancy outcome,complications and the effective rate of tubal recanalization were observed and analyzed.Results The intrauterine pregnancy rate of the observation group was significantly higher than that of the control group(P<0.05).The ectopic pregnancy rate of the observation group was significantly lower than that of the control group(P<0.05).The postoperative complication of the observation group was significantly lower than that of the control group(P<0.05).The efficiency is significantly higher than the control group(P<0.05).Conclusions On the basis of tubal interventional recanalization combined with traditional Chinese medicine enema and oral treatment,it can significantly improve the intrauterine pregnancy rate and tubal recanalization rate,reduce the occurrence of complications,and is worthy of application in damp-heat stasis type tubal obstruction infertility.

关 键 词：中药灌肠 中药口服 输卵管再通术 输卵管阻塞 不孕症 湿热瘀阻型 

分 类 号：R714[医药卫生—妇产科学]