腹腔镜手术结合中药灌肠治疗输卵管积水102例分析.doc

腹腔镜手术结合中药灌肠治疗输卵管积水102例分析[摘要] 目的:探讨腹腔镜手术结合中药治疗提高输卵管积水的治愈率。方法:回顾性分析采用腹腔镜微创技术、TDP理疗及中药灌肠综合治疗102例输卵管积水患者的临床资料。结果:102例中治愈88例,占86.27%;有效10例,占9.80%;无效4例,占3.93%。结论:腹腔镜手术具有微创、粘连少等优点,TDP下腹部照射、中药灌肠可以改变盆腔局部环境,利于输卵管功能恢复。三者结合是治疗输卵管积水安全、有效的方法。 [关键词] 输卵管积水;腹腔镜;中药灌肠;TDP [中图分类号] R711.76 [文献标识码]B[文章编号]1673-7210(2010)04(b)-150-02 Laparoscopic surgery combined with traditional Chinese medicine to treat 102 cases of patients with hydrosalpinx TAO Gui’e, DENG Wenzhong (Department of Gynecology, Women′s and Children′s Hospital of Xinxiang City, Xinxiang 453000, China) [Abstract] Objective: To evaluate the recovery rate of hydrosalpinx by the means of laparoscopic surgey combined with traditional Chinese medicine. Methods: The clinical data of 102 patients with hydrosalpinx who were treated by laparoscopic minimal invasive operation, TDP physical therapy combined with traditional Chinese medicine enema was analyzed retrospectively. Results: Among 102 cases of patients, 88 cases were cured, accounting for 86.27%; it was effective in 10 cases, accounting for 9.80% and it was ineffective in 4 cases, accounting for 3.93%. Conclusion: Laparoscopic surgey has the characteristics of minimal invasion and less nasal cavity adhesion, TDP lower abdomen irradiation and traditional Chinese medicine enema may change the pelvic partial environment, favoring the recovery of the oviduct function. So it is effective and safe in the treatment for hydrosalpinx by their synergistic reaction. [Key words] Hydrosalpinx; Laparoscopic; Traditional Chinese medicine enema; TDP 近年来,继发不孕患者逐渐增多,其中输卵管性不孕的增加趋势更为明显,输卵管积水在输卵管性不孕中占很大比例。腹腔镜手术的微创性和粘连少是公认的,因其具有放大功能,应用于不孕症的诊断和治疗中更有其优越性,术后辅以理疗、中药治疗,更有利于减少术后的伞端粘连和促进功能恢复,对提高术后妊娠率有显著的效果。现报道如下: 1 资料与方法 1.1一般资料 我院2004～2009年共治疗输卵管积水患者102例,年龄24～35岁,所有患者术前均行子宫输卵管造影,显示单侧或双侧输卵管伞端闭锁积水。 1.2 手术方法 患者均采取气管插管全麻,取膀胱截石位,常规消毒铺巾,腹部气腹针、TRCAR穿刺[1]。探查盆腔,观察双侧输卵管、卵巢情况,有盆腔粘连者先行盆腔粘连松接,至双侧输卵管、卵巢游离。对于输卵管内积液不多,伞部闭锁盲端不是很膨大者,自宫颈管置入宫腔操作镜,行单侧输卵管插管通液,使患侧输卵管充分膨大,有助于识别闭锁伞端最薄弱处。通