输卵管阻塞性不孕症采取宫腔镜下插管通液联合中药蒲地灌肠液治疗分析.docVIP

输卵管阻塞性不孕症采取宫腔镜下插管通液联合中药蒲地灌肠液治疗分析 　　[摘要] 目的 研究在输卵管阻塞性不孕症的治疗中联合使用宫腔镜下插管通液治疗与中药蒲地灌肠液疗法的实际价值。方法 方便选取该院2014年4月―2015年1月收治的45例输卵管阻塞性不孕症患者进行分组研究，借助于随机表法将其列入观察组（该组共计25例）与对照组（该组共计20例），对照组行常规治疗，观察组联合使用宫腔镜下插管通液治疗与中药疗法，对比两组治疗有效率和随访2年内的妊娠率。结果 观察组治疗有效率是80.0%，妊娠率是76.0%，对照组治疗有效率是65.0%，妊娠率是55.0%，观察组疗效要显著优于对照组，差异有统计学意义（P0.05）。结论 在输卵管阻塞性不孕症的治疗中，联合使用宫腔镜下插管通液治疗与蒲地灌肠液中药疗法能够有效地提高治疗有效率和妊娠率，可在临床推广和应用。 　　[?P键词] 输卵管阻塞性不孕症；宫腔镜下插管通液；中药蒲地灌肠液；疗效；妊娠率 　　[中图分类号] R711 [文献标识码] A [文章编号] 1674-0742（2017）11（a）-0171-03 　　[Abstract] Objective To research the practical value of hysteroscopic tube insertion and pudi intestinal enema in treatment of tubal obstructive infertility. Methods 45 cases of patients with tubal obstructive infertility admitted and treated in our hospital from April 2014 to January 2015 were convenient selected and randomly divided into two groups， the control group with 20 cases adopted the routine treatment， while the observation group with 25 cases adopted the hysteroscopic tube insertion and pudi intestinal enema， and the effective rate and 2-year pregnancy rate were compared between the two groups. Results The treatment effective rate and pregnant rate in the observation group and the control group were respectively 80.0%，76.0% and 65.0%，55.0%， and the curative effect in the observation group was obviously better than that in the control group， and the difference was statistically significant（P0.05）. Conclusion The hysteroscopic tube insertion and pudi intestinal enema in treatment of tubal obstructive infertility can effectively improve the treatment effective rate and pregnant rate， which can be applied and promoted in clinic. 　　[Key words] Tubal obstructive infertility； Hysteroscopic tube insertion； Pudi intestinal enema； Curative effecti； Pregnant rate 　　在临床上，不孕症属于一种发病率较高的妇科疾病。近些年来，伴随着生殖系感染疾病和性传播疾病等因素的不断增多，不孕症患者也连年增多[1]。对于不孕症患者而言，最常见的致病因素便是输卵管阻塞，有数据资料显示，在所有的不孕症患者中，致病因素为输卵管阻塞的患者所占比例高达25%～50%[2]。伴随着医疗技术的不断进步，宫腔镜技术在临床上的应用范围逐渐地扩大，其在输卵管阻塞性不孕症的治疗中的使用率也不断提升。该研究方便选取该院2014年4月―2015