腹腔镜配合中药治疗慢性盆腔炎性不孕的疗效观察及机理探讨-中医妇科学专业论文.docxVIP

摘要 摘要 腹腔镜配合中药治疗慢性盆腔炎性不孕的疗效观察及机理探讨 腹腔镜配合中药治疗慢性盆腔炎性不孕的疗效观察及机理探讨 - - PAGE 11 - - - PAGE 10 - 摘 要 目的：本课题通过腹腔镜术后配合中药口服及灌肠治疗慢性盆腔炎性不孕症，观 察患者的妊娠率、异位妊娠率、再粘连率及症状、体征等指标的情况，了解中西医结 合治疗慢性盆腔炎性不孕症的临床疗效，并探讨其作用机理。 方法：所有病历均来源于河南中医学院第一附属医院妇科病房，将经腹腔镜确诊 并经镜下手术的 60 例慢性盆腔炎性不孕症患者随机分为治疗组和对照组各 30 例。两 组患者术后均常规抗感染，治疗组给予中药口服及中药保留灌肠治疗，对照组经期静 滴抗生素治疗。观察治疗后两组患者 1 年内的妊娠率、异位妊娠率及 1 年内未受孕者 的输卵管通畅情况、治疗前后两组临床症状、体征的改善情况。 结果：治疗组一年内宫内妊娠率95.00%、异位妊娠率5.00%、再粘连率29.41%；对 照组1年内宫内妊娠率73.68%、异位妊娠率26.32%、再粘连率45.00%，经统计学处理， 有显著性差异(P0.05)。治疗组治疗后临床症状、体征显著改善，与对照组比较，有 显著性差异（P0.05)。 结论： 1 腹腔镜术后配合中药口服及灌肠能显著提高慢性盆腔炎性不孕症的宫内妊娠率 (P0.05)。 2 腹腔镜术后配合中药口服及灌肠能显著降低慢性盆腔炎性不孕症的再粘连率及 异位妊娠率(P0.05)。 3 腹腔镜术后配合中药口服及灌肠能显著改善慢性盆腔炎性不孕症（湿热瘀阻症） 的临床症状及体征，与对照组比较有显著性差异，疗效明显（P0.05)。 临床研究证实，腹腔镜术后配合中药口服及灌肠能显著提高慢性盆腔炎性不孕症 的妊娠率，降低慢性盆腔炎性不孕症的异位妊娠率及再粘连率，在改善慢性盆腔炎性 不孕症的临床症状及体征方面的疗效优于单纯腹腔镜手术。提示中西医结合在治疗本 病上有很大的优势。 关键词: 慢性盆腔炎性不孕；中西医结合；腹腔镜；疗效观察 Investigating Efficacy and Mechanism after Laparoscope operation through traditional Chinese medicine cure the sterility induced by chronic pelvic inflammation Ma ZhongLi (Gynecology of Traditional Chinese Medicine) Directed by Wang Lina Abstract Objectives: This subject Investigate the Efficacy and Mechanism that the Integrated Traditional Chinese and Western Medicine cure the sterility induced by chronic pelvic inflammation,through the oral traditional Chinese medicine and the Enema after Laparoscope operation and observing the patients’ pregnancy rate, ectopic pregnancy rate, further conglutinationand rate and symptom, Physical Signs etc. Methods: All cases came from the gynecology sickroom of The First Affiliated Hospital Of Henan College Of TCM. The 60 cases infected with the sterility induced by chronic pelvic inflammation were randomized into treatment group and control group, 30 cases in each. After operation,all cases of two groups were conventional resistance infection.The oral traditional Chinese medicine and the Enema were given to the cases of the treatment group,the cases of the control group used the Intraven