CAJ | 학술논문

目的：观察宫腔镜手术联合中药化瘀方灌肠治疗宫外孕后输卵管阻塞的临床疗效。方法收集我院妇科门诊2010年1月至2013年8月收治的宫外孕后输卵管阻塞患者104例，随机分为观察组和对照组各52例。对照组患者使用宫腔镜行双侧输卵管通液术，观察组在对照组治疗基础上配合活血化瘀方中药灌肠治疗，每晚一次，共7天，3个月经周期为一个疗程。结果观察组总有效率为86．54％，复通率为57．69％，对照组总有效率为75．00％，复通率为40．38％，两组比较统计学有显著性差异（ P＜0．05）。结论宫腔镜联合中药灌肠治疗，可明显提高输卵管阻塞的治愈率及受孕率，且经济、方便，值得临床推广应用。
목적：관찰궁강경수술연합중약화어방관장치료궁외잉후수란관조새적림상료효。방법수집아원부과문진2010년1월지2013년8월수치적궁외잉후수란관조새환자104례，수궤분위관찰조화대조조각52례。대조조환자사용궁강경행쌍측수란관통액술，관찰조재대조조치료기출상배합활혈화어방중약관장치료，매만일차，공7천，3개월경주기위일개료정。결과관찰조총유효솔위86．54％，복통솔위57．69％，대조조총유효솔위75．00％，복통솔위40．38％，량조비교통계학유현저성차이（ P＜0．05）。결론궁강경연합중약관장치료，가명현제고수란관조새적치유솔급수잉솔，차경제、방편，치득림상추엄응용。
Objective To observe the hysteroscopy combined clinical efficacy of traditional Chinese medicine Huayu Recipe enema treatment of ectopic pregnancy after tubal occlusion .Methods Hospital gynecology clinic in January 2010 -August 2013 after the ectopic tubal obstruction treated 104 patients ,52 cases were randomly divided into the observation group and the control group .The control group patients underwent bilateral hysteroscopic tubal surgery , observation group with blood circulation parties enema therapy treatment in the control group , based on the first night , a total of seven days , three menstrual cycles as a course .Results The total effective rate was 86.54%,recanalization rate was 57.69%in the control group,the total effective rate was 75.00%,40.38%recanalization rate of the two groups was statistically significant difference (P<0.05). Conclusions Hysteroscopy enema therapy can significantly improve the cure rate of tubal obstruction and pregnancy rates , and the economic , convenient , worthy of clinical application .