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目的探讨中医药结合输卵管再通术对治疗输卵管阻塞性不孕症的应用价值。方法对50例输卵管阻塞不孕症患者施行经宫颈选择性输卵管造影(SSG)及再通术(FTR),其中30例在SSG、FTR前与后分别给予中医药理疗及外敷等系统治疗,列为联合组;另20例作为对照组。结果输卵管阻塞根数:联合组30例共50根、对照组20例共32根;再通成功率:联合组再通成功率为96.6%高于对照组89.8%(P<0.05);妊娠率:联合组妊娠率为32.5%高于对照组6.6%(P<0.01);输卵管再阻塞率:联合组输卵管再阻塞率为19.5%,低于对照组79.1%(P<0.01)。结论中医、中药、理疗、外敷治疗输卵管阻塞,能使药物直达病所,提高输卵管阻塞再通成功率、妊娠率。
Objective To investigate the value of combined Chinese medicine and tubal recanalization in the treatment of tubal obstruction infertility. Methods 50 cases of tubal obstruction infertility were treated by selective cervical salpingography (SSG) and recanalization (FTR), of which 30 cases of SSG, before and after FTR were given Chinese medicine physiotherapy and topical and other systemic treatment, column For the combined group; the other 20 cases as a control group. Results The number of tubal obstruction was 30 in the combined group and 50 in the control group, with 32 in the control group. The success rate of recanalization was 96.6% in the combined group and 89.8% in the control group (P <0.05). The pregnancy rate The pregnancy rate of the combined group was 32.5% higher than that of the control group (P <0.01). The tubal reocclusion rate was 19.5% in the combined group, which was lower than 79.1% of the control group (P <0.01). Conclusion Chinese medicine, traditional Chinese medicine, physical therapy, topical treatment of tubal obstruction, can make the drug directly to the disease, improve the success rate of tubal obstruction and recanalization, pregnancy rate.