输卵管造影及通液联合瘀通一号中药口服治疗输卵管性不孕疗效观察.docVIP

输卵管造影及通液联合瘀通一号中药口服治疗输卵管性不孕疗效观察【摘要】 目的 评价子宫输卵管造影同时在透视下通液联合瘀通一号口服治疗输卵管阻塞的临床应用价值。方法 随访及分析河北大学附属医院近1年确诊为输卵管阻塞性不孕的病例。根据患者的治疗情况，分为治疗组及对照组。治疗组均行子宫输卵管造影并随即在透视下通液后内服中药，组方以活血化瘀、调经补肾为法，根据辨证加减或辅以周期疗法；对照组仅采取常规通液治疗。统计并对比分析两组输卵管再通率及妊娠率。结果 研究表明治疗组输卵管再通率达98%，宫内妊娠率高达75.6%，而仅采取常规通液治疗的对照组输卵管再通率仅78.4%，妊娠率也仅有52.9%，两组的输卵管再通率及宫内妊娠率比较差异有统计学意义；且半年至1年内宫内妊娠率比较差异有统计学意义。治疗组明显优于对照组。结论 输卵管阻塞性不孕症患者经子宫输卵管造影及透视下通液、配合以中药内服的中西医结合治疗方案可以提高输卵管再通率及宫内妊娠率。 【关键词】 输卵管阻塞性不孕；输卵管造影；中西医结合；输卵管再通率；妊娠率 The clinical applied value for treatment of tubal obstruction by hysterosalpingography and oral herbs LI Hui-chan,ZHAO Yong-chen.Department of Medicine of Hebei University,Hebei 071000,China 【Abstract】 Objective To evaluative the clinical value of hysterosalpingography at the same time the joint fluid under fluoroscopic guidance through the oral treatment of tubal obstruction.Methods Followed-up and analyzed the patient with tubal obstruction infertility in recent 1 year（in Affiliated Hospital of Hebei University）. Basing on patients’ treatment, we divided into therapy groups and control groups. Treatment group were checked for hysterosalpingography, and fluoroscopy tubal, then after taking herbs, the principle of which was activating blood circulation to dissipate blood stasis and promoting circulation to remove meridian obstruction, plus or minus according to the dialectical syndromes, or supplemented chinese medicine cycle treatment,control group only were treated by fluid infusion fallopian tube.Statistics and comparative analysis of two sets of fallopian tube recanalization rate and pregnancy rate.Results Studies had shown that the treatment group fallopian tube recanalization rate of 98%, intrauterine pregnancy rate as high as 75.6%, but the recanalization rate of fallopian tube of control group that conventional treatment of tubal was only 78.4%, pregnancy rate was only 52.9%, two groups of patients with fallopian tube recanalization rate and intrauterine pregnancy rate had significant differences; and