CAJ | 학술논문

目的：探讨宫腹腔镜术后联合药物灌肠及微波治疗不孕症的临床效果。方法将100例输卵管因素致不孕行宫腹腔镜治疗患者随机分为两组，各50例。两组术后均常规给予抗生素治疗3 d，对照组后期不做特殊治疗，观察组给予甲硝唑＋地塞米松＋糜蛋白酶＋庆大霉素灌肠，同时行微波治疗，共7d。对比两组临床治疗效果。结果观察组术后3个月内、4～6个月及1年内总妊娠率均高于对照组（ P ＜0．05或P ＜0．01）；术后1年内，观察组未妊娠患者输卵管单侧通畅率及总通畅率均高于对照组（ P ＜0．01）。结论宫腹腔镜术后联合药物灌肠及微波治疗，能明显提高患者术后妊娠率，减少输卵管再粘连的发生。
목적：탐토궁복강경술후연합약물관장급미파치료불잉증적림상효과。방법장100례수란관인소치불잉행궁복강경치료환자수궤분위량조，각50례。량조술후균상규급여항생소치료3 d，대조조후기불주특수치료，관찰조급여갑초서＋지새미송＋미단백매＋경대매소관장，동시행미파치료，공7d。대비량조림상치료효과。결과관찰조술후3개월내、4～6개월급1년내총임신솔균고우대조조（ P ＜0．05혹P ＜0．01）；술후1년내，관찰조미임신환자수란관단측통창솔급총통창솔균고우대조조（ P ＜0．01）。결론궁복강경술후연합약물관장급미파치료，능명현제고환자술후임신솔，감소수란관재점련적발생。
Objective To investigate the clinical efficacy of microwave treatment of infertility after laparoscopic surgery plus enema.Methods One hundred patients undergoing laparoscopic treatment for fallopian tube obstruction were randomly divided into treatment group and control group with 50 cases in each group and the two groups were given conventional antibiotics treatment of 3 days.The observation group was given metronidazole ,dexamethasone ,Mi protease and gentamicin enema plus microwave therapy for 7 days, but the control group was not given any special treatment .The two groups were observed for clinical efficacy .Results The total pregnancy rates 3 months,4-6 months and 1 year after the operation in the treatment group were higher than those in the control group ( P <0.05 or P <0.01).1 year after operation, the unilateral and total patency rates of not pregnant patients of the observation group were higher than those in the control group ( P <0.01).Conclusion Laparoscopy plus postoperative enema and microwave treatment can significantly improve postoperative pregnancy rate and reduce the occurrence of postoperative adhesion of fallopian tube .