CAJ | 학술논문

目的探讨盆腔积液与不孕的关系.方法回顾性分析阴道超声提示盆腔积液而子宫输卵管造影提示双侧输卵管通畅的129例不孕患者的临床资料.经中药治疗3个月后,盆腔积液消失86例,盆腔积液不消失43例,对两者妊娠率进行比较.结果盆腔积液消失患者妊娠率为30.23%(26/86),盆腔积液不消失患者妊娠率为6.98%(3/43),两者妊娠率比较差异有统计学意义(P<0.05).未妊娠患者中87例行腹腔镜检查,其中55例为子宫内膜异位症,25例因慢性盆腔炎性疾病引起不同程度的盆腔粘连,1例大量盆腔积液为腹膜结核,6例仅见淡红色盆腔积液而未发现其他异常.31例患者腹腔镜检查术后通过体外受精-胚胎移植获得妊娠.结论盆腔积液在不孕中有重要临床意义,应积极寻找原因并治疗,以使患者得到有效治疗.
목적 탐토분강적액여불잉적관계.방법 회고성분석음도초성제시분강적액이자궁수란관조영제시쌍측수란관통창적129례불잉환자적림상자료.경중약치료3개월후,분강적액소실86례,분강적액불소실43례,대량자임신솔진행비교.결과 분강적액소실환자임신솔위30.23%(26/86),분강적액불소실환자임신솔위6.98%(3/43),량자임신솔비교차이유통계학의의(P<0.05).미임신환자중87례행복강경검사,기중55례위자궁내막이위증,25례인만성분강염성질병인기불동정도적분강점련,1례대량분강적액위복막결핵,6례부견담홍색분강적액이미발현기타이상.31례환자복강경검사술후통과체외수정-배태이식획득임신.결론 분강적액재불잉중유중요림상의의,응적겁심조원인병치료,이사환자득도유효치료.
Objective To evaluate the relationship between cavitas pelvis fluidify and infertility.Methods The clinical data of 129 infertility patients which ultrasound hint cavitas pelvis fluidify but hysterosalpingography hint both fallopian tubes to be unobstructed were analyzed retrospectively. The patients were divided into two groups, after 3 months cure with traditional Chinese medicine, the cavitas pelvis fluidify of 86 cases were obsolescent as group Ⅰ , the cavitas pelvis fluidify of 43 cases were no obsolescent as group Ⅱ. Compared their pregnancy rates. Results The pregnancy rate of group Ⅰ was 30.23%(26/86),group Ⅱ was 6.98%(3/43 ), there was significant deviation between the two groups (P < 0.05 ). Eighty-seven patients who were no pregnant were diagnosed laparoscopy, there were 55 cases with endometriosis (EMS), 25 cases with cavitas pelvis accretion, 1 case with tuberculosis of peritoneum, 6 cases with carmoisine cavitas pelvis fluidify without other abnormal. Thirty-one of these patients were pregnant through in vitro fertilization and embryo transfer. Conclusion Cavitas pelvis fluidify is very important in clinic, search for the cause of a disease and cure actively is needed, so that they can cure utility.