综合疗法治疗输卵管阻塞引起不孕症临床观察.docVIP

综合疗法治疗输卵管阻塞引起不孕症临床观察 　　[摘要] 目的：探讨综合疗法治疗输卵管阻塞引起不孕症的临床效果。方法：回顾性分析我院2008年11月~2009年4月诊治的84例不孕症患者的临床资料。结果：治疗后观察组的治愈率为62.8%，明显高于对照组的41.4%，两组间差异有统计学意义（P＜0.05）；观察组的不良反应发生率为7.0%，对照组为9.8%，两组间差异均无统计学意义（P＜0.05）。结论：综合疗法治疗输卵管阻塞引起不孕症疗效满意，值得临床推广使用。 　　[关键词] 不孕症；输卵管阻塞；综合疗法 　　[中图分类号] R711.6[文献标识码]B[文章编号]1673-7210（2011）04（a）-182-02 　　 　　The clinical observation of comprehensive therapy in the treatment of infertility caused by fallopian tube obstruction 　　ZHANG Wenying, YAN Dong 　　Shuangfengsi Clinics of Shuangqiao Area, Chengde City, Hebei Province, Chengde 067000, China 　　[Abstract] Objective: To explore the clinic effect of comprehensive therapy in the treatment of infertility caused by fallopian tube obstruction. Methods: The clinical data of 84 cases of infertility caused by fallopian tube obstruction in our hospital from November 2008 to April 2009 were analyzed retrospectively. Results: The cure rate of observation group was 62.8% after treatment, it was significantly higher than 41.4% of the control group, there was a significant difference between two groups (P＜0.05). The adverse reaction rate in the observation group was 7.0%, the control group was 9.8%, there was not significant difference between two groups (P＜0.05). Conclusion: Comprehensive therapy in the treatment of infertility caused by fallopian tube obstruction has satisfactory curative effect, it is worth spreading. 　　[Key words] Infertility; Fallopian tube obstruction; Comprehensive therapy 　　 　　输卵管性不孕是女性不孕中比较常见的一种，主要表现在输卵管堵塞、粘连等，临床治疗方法较多，笔者在本研究中主要探讨综合疗法治疗输卵管阻塞引起不孕症的临床效果，现将有关的临床资料进行总结，分析如下： 　　1 资料与方法 　　1.1 一般资料 　　入选病例均为我院2008年2月~2009年9月诊治的输卵管阻塞引起不孕症患者，共计84例， 均通过病史、妇科检查、输卵管造影、经期诊断、性激素6项检查等确诊。患者年龄22~43岁，???均（35.4±2.2）岁；病程2~9年，平均（4.5±0.9）年；原发不孕14例，继发不孕70例。 研究遵照患者知情同意原则将所有患者分为观察组43例和对照组41例，两组患者一般资料比较差异无统计学意义（P＞0.05），具有可比性，数据如表1所示。 　　1.2 治疗方法 　　对照组仅采用口服抗生素加输卵管注药治疗：患者月经干净后 3～7 d隔日行宫腔注射药物治疗3次，用药为：生理盐水20 ml，庆大霉素16万U，地塞米松10 mg，糜蛋白酶4 000 U，同时口服常规剂量环丙沙星1周。观察组患者给予综合疗法治疗：患者月经干净3 d，不同房开始输卵管药物通液，隔日1次，有血推迟1 d，每月最多