微波理疗治疗输卵管积水及改善卵巢功能评价.docVIP

微波理疗治疗输卵管积水及改善卵巢功能评价 　　[摘要]目的 探讨微波理疗治疗慢性盆腔炎输卵管积水的临床效果。方法 选择2013年1月～2015年6月门诊收治的200例输卵管积水患者为研究对象，根据治疗方法的不同将其分为两组，每组100例。对照组给予常规药物治疗，观察组在药物治疗的基础上给予微波理疗。治疗3个月后，比较两组患者B超盆腔输卵管影像及血清中的雌二醇（E2）、促卵泡激素（FSH）、促黄体生成激素（LH）、孕酮（P），判断疗效。结果 两组患者治疗前血清的E2、FSH、LH、P比较均无明显改变，观察组治疗后FSH、LH明显升高且与治疗前及对照组治疗后比较，差异有统计学意义（P0.05）；观察组临床总有效率为100.0%，明显高于对照组的92.0%，差异有统计学意义（P0.05）。结论 微波理疗治疗输卵管积水能够提高卵巢功能，临床疗效好，值得临床推广。 　　[关键词]微波理疗；输卵管积水；卵巢功能；雌二醇；促卵泡激素；促黄体生成激素；孕酮 　　[中图分类号] R713 [文献标识码] A [文章编号] 1674-4721（2016）07（b）-0090-03 　　[Abstract]Objective To evaluate the clinical efficacy of microwave therapy for treatment of chronic pelvic inflammatory hydrosalpinx.Methods 200 patients of hydrosalpinx patients from January 2013 to June 2015 admitted to the clinic for the study，were randomly divided into two groups of 100 patients in each group，the control group received conventional drug therapy，the observation group received microwave therapy drug treatment on the basis of the control group.After 3 months of treatment，tubal pelvic B ultrasound imaging， serum estradiol （E2），follicle-stimulating hormone （FSH），luteinizing hormone （LH），progesterone （P） were compared to determine efficacy.Results The two groups of patients before treatment for E2，FSH，LH，P showed no significant change.After treatment group，FSH and LH were significantly increased with the difference between before treatment and the control group after treatment （P0.05）；the total effective rate with clinical in observation group was 100.0%，significantly higher than that was 92.0% in the control group，the difference was statistically significant （P0.05）.Conclusion Microwave therapy in the treatment of hydrosalpinx can improve ovarian function，clinical efficacy is obvious，with worthy of promotion. 　　[Key words]Microwave therapy；Hydrosalpinx；Ovarian function；Serum estradiol；Follicle-stimulating hormone；lLuteinizing hormone；Progesterone 　　近年来，输卵管性不孕呈增加趋势，而输卵管积水导致的不孕占输卵管性不孕的10%～30%，输卵管积水的治疗不仅要消除积水，还要恢复输卵管和卵巢功能[1]。输卵管积水多为盆腔炎症的后果，常无病原体，抗生素治疗无效，应行手术治疗，但术后受孕