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目的探讨输卵管阻塞性不孕的治疗方法及疗效。方法输卵管阻塞性不孕患者210例,按治疗方法的不同分为治疗组(116例)和对照组(94例)。治疗组经期选择应用抗生素、经间期采取中药灌肠并理疗的治疗方法 ,对照组采用输卵管通液、经期用药同治疗组而经间期口服活血化瘀中成药的治疗方法。比较两组的临床疗效。结果治疗组治愈79例,治愈率68.10%,宫内妊娠42例,妊娠率36.21%,无宫外妊娠发生。对照组治愈25例,治愈率26.60%,宫内妊娠20例,妊娠率21.28%,宫外妊娠1例,发生率1.06%。治疗组治愈率、妊娠率均明显优于对照组,两组比较差异具有统计学意义(P<0.05);两组宫外孕发生率比较差异无统计学意义(P>0.05)。结论西医配合中药灌肠并理疗的方法治疗输卵管阻塞性不孕疗效确切,并可有效降低因输卵管导致的宫外孕的发生率。
Objective To investigate the treatment and efficacy of tubal obstruction infertility. Methods 210 cases of tubal obstruction infertility patients, divided into treatment group (116 cases) and control group (94 cases) according to the different treatment methods. The treatment group choose antibiotics during menstruation, take the traditional Chinese medicine enema and physical therapy through interphase, the control group adopts tubal fluid, menstrual medication with the treatment group and the intercostal treatment of traditional Chinese medicine for promoting blood circulation and removing blood stasis. The clinical efficacy of the two groups was compared. Results The treatment group cured 79 cases, the cure rate was 68.10%, intrauterine pregnancy in 42 cases, the pregnancy rate was 36.21%, no ectopic pregnancy occurred. Control group, 25 cases were cured, the cure rate was 26.60%, intrauterine pregnancy in 20 cases, the pregnancy rate was 21.28%, 1 case of ectopic pregnancy, the incidence rate of 1.06%. The cure rate and pregnancy rate of the treatment group were significantly better than the control group, the difference between the two groups was statistically significant (P <0.05). There was no significant difference in the incidence of ectopic pregnancy between the two groups (P> 0.05). Conclusion Western medicine with Chinese medicine enema and physical therapy treatment of tubal obstruction infertility exact effect, and can effectively reduce the incidence of tubal ectopic pregnancy.