温肾通络综合疗法配合宫腔镜治疗肾虚血瘀型输卵管阻塞的临床探究.pdfVIP

提 要 目的：观察温肾通络综合疗法配合宫腔镜治疗肾虚血瘀型输卵管阻塞在临床上的 疗效，初步探讨其作用机理，为临床应用提供科学依据。 方法：将 60 例符合肾虚血瘀型输卵管阻塞的患者随机分为两组，进行宫腔镜扩 通手术：治疗组 30 例（术中给予丹香冠心注射液输卵管腔内灌注，术后给予温肾通 络综合疗法为主的中药口服，经期停药；月经干净第 3 天开始中药灌肠+药渣外敷+ 神灯理疗+丹香冠心注射液静脉用药，10天一疗程，及丹香冠心注射液宫腔注药，隔 日一次，共注三次），对照组 30 例（术中给予美蓝输卵管腔内灌注，术后月经干净 第3天开始庆大霉素宫腔注药）。治疗3 个疗程后，比较两组治疗前后的临床疗效， 观察术后第4个月月经干净3-7天子宫输卵管造影情况及全身症状的改善情况。 结果：1.治疗组与对照组临床总疗效的总有效率分别为 93.33％、70.00％，两 组有明显差异，P0.05。2.治疗组与对照组中医证候的总有效率分别为 93.33％、 66.67％，两组有明显差异，P0.05。3. 治疗组与对照组造影示输卵管阻塞的总有效 率分别为 75.00％、51.67％，两组有明显差异性，P0.05。在本试验过程中未发现 明显不良反应。 结论：温肾通络综合疗法配合宫腔镜能有效治疗肾虚血瘀型输卵管阻塞，明显改 善临床症状，创伤小、费用低、治愈率高，是治疗输卵管阻塞的有效方法，值得临床 推广。 关键词 输卵管阻塞；肾虚血瘀；温肾通络法；宫腔镜插管扩通术；临床研究 Clinical studies on combination therapy of hysteroscopic treatment and Wenshen meridians of kidney deficiency and blood stasis tubal obstruction Speciality：Gynecology of Traditional Chinese Medicine Graduate：Zhang Yang Tutor：Prof. Wang Zhe Abstract Objective ：To observe the clinical efficacy of the combination therapy of hysteroscopic treatment and wenshen meridians of kidney deficiency and blood stasis tubal obstruction, Investigate the mechanism of action of the method and provide a scientific basis for its Clinical application. Methods: 60 cases of the kidney deficiency and blood stasis tubal obstruction were randomly divided into two groups . 30 cases of Treatment group were given Dan Xiang Guanxin injection through tubal cavity perfusion during the operation and with Wenshen meridians combination therapy after operation, Menstrual withdrawal; Chinese medicine enema,Dregs of topical, TDP physiotherapy, Dan Xiang Guanxin injection by venous way 10 days a course, and Dan Xiang Guanxin injection uterine injection three days after the Menstru