中国医学前沿杂志（电子版）
中國醫學前沿雜誌（電子版）
중국의학전연잡지（전자판）
CHINESE JOURNAL OF THE FRONTIERS OF MEDICAL SCIENCE(ELECTRONIC VERSION)
2014年
6期
82-84
,共3页
输卵管堵塞%不孕症%临床治疗
輸卵管堵塞%不孕癥%臨床治療
수란관도새%불잉증%림상치료
Tubal blockage%Infertility%Clinical treatment
目的：探讨输卵管堵塞所致不孕症的临床治疗方法，为提高患者治疗效果及生活质量提供可靠依据。方法对46例输卵管阻塞所致不孕症患者临床资料进行回顾性分析，内容包括治疗方法、随访妊娠成功率等，对所得资料进行统计学分析。结果输卵管通液术、输卵管通液术＋导丝、中西医结合治疗输卵管成功通畅所占比例均高于80%，治疗效果较为理想，而单纯中医治疗输卵管阻塞所致不孕症成功通畅效果并不理想（50%）；输卵管通液术、输卵管通液术＋导丝、中西医结合治疗后患者成功妊娠率均高于60%，而单纯中医治疗输卵管阻塞所致不孕症患者成功妊娠率仅为33.33%，差异具有显著性（P＜0.05）。结论宫、腹腔镜联合输卵管通液术治疗输卵管堵塞所致不孕症操作简单、使用方便、疗效显著、妊娠成功率较高，根据患者实际情况可加用导丝或术后给予中西医促排卵药物治疗，获得更为理想的治疗效果，值得临床推广应用。
目的：探討輸卵管堵塞所緻不孕癥的臨床治療方法，為提高患者治療效果及生活質量提供可靠依據。方法對46例輸卵管阻塞所緻不孕癥患者臨床資料進行迴顧性分析，內容包括治療方法、隨訪妊娠成功率等，對所得資料進行統計學分析。結果輸卵管通液術、輸卵管通液術＋導絲、中西醫結閤治療輸卵管成功通暢所佔比例均高于80%，治療效果較為理想，而單純中醫治療輸卵管阻塞所緻不孕癥成功通暢效果併不理想（50%）；輸卵管通液術、輸卵管通液術＋導絲、中西醫結閤治療後患者成功妊娠率均高于60%，而單純中醫治療輸卵管阻塞所緻不孕癥患者成功妊娠率僅為33.33%，差異具有顯著性（P＜0.05）。結論宮、腹腔鏡聯閤輸卵管通液術治療輸卵管堵塞所緻不孕癥操作簡單、使用方便、療效顯著、妊娠成功率較高，根據患者實際情況可加用導絲或術後給予中西醫促排卵藥物治療，穫得更為理想的治療效果，值得臨床推廣應用。
목적：탐토수란관도새소치불잉증적림상치료방법，위제고환자치료효과급생활질량제공가고의거。방법대46례수란관조새소치불잉증환자림상자료진행회고성분석，내용포괄치료방법、수방임신성공솔등，대소득자료진행통계학분석。결과수란관통액술、수란관통액술＋도사、중서의결합치료수란관성공통창소점비례균고우80%，치료효과교위이상，이단순중의치료수란관조새소치불잉증성공통창효과병불이상（50%）；수란관통액술、수란관통액술＋도사、중서의결합치료후환자성공임신솔균고우60%，이단순중의치료수란관조새소치불잉증환자성공임신솔부위33.33%，차이구유현저성（P＜0.05）。결론궁、복강경연합수란관통액술치료수란관도새소치불잉증조작간단、사용방편、료효현저、임신성공솔교고，근거환자실제정황가가용도사혹술후급여중서의촉배란약물치료，획득경위이상적치료효과，치득림상추엄응용。
Objective To investigate the clinical treatment of infertility due to tubal blockage method, provide a reliable basis for improving the efifcacy and quality of life for patients. Method After 46 cases of tubal obstruction infertility caused by clinical data were retrospectively analyzed, including treatments, follow-up pregnancy success rates, given the statistical analysis concluded. Result The treatment of fallopian tube patency in patients with successful proportion combined with hydrotubation, hydrotubation + guide wire, traditional Chinese medicine and Western medicine were higher than 80%, ideal treatment effect, Chinese medicine treatment of infertility caused by fallopian tube obstruction successfully smooth the effect is not ideal (50%);after treatment of patients with successful pregnancy rates were higher than 60%combined with tubal hydrotubation, hydrotubation +guide wire, traditional Chinese medicine and Western medicine, and pure Chinese medicine treatment of tubal obstruction infertility caused by patients with successful pregnancy rate was only 33.33%, the difference was signiifcant (P<0.05). Conclusion Simple laparoscopy combined tubal surgery treatment, easy to use, efifcacy signiifcantly higher pregnancy success rate, according to the actual situation of the patient can be added with a guidewire or after ovulation drugs given to Western medicine treatment, to obtain a more desirable therapeutic effect, worthy of clinical application.
