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目的:探讨腹腔镜输卵管复通术联合中药治疗输卵管近端阻塞性不孕的疗效。方法:2006年4月～2009年10月61例实施腹腔镜输卵管再通术患者,其中实施输卵管吻合术45例,实施输卵管宫角植入术16例,术后口服道地通管一号方及道地通管二号方保留灌肠三个疗程;随访3～24个月统计妊娠情况。结果:61例手术均获成功,无中转开腹。术后随访,输卵管绝育术后患者宫内妊娠率88.00%,宫外妊娠率为0.00;结节性输卵管炎患者宫内妊娠率50.00%,宫外妊娠率8.33%,炎症纤维化阻塞患者宫内妊娠率31.25%,宫外妊娠率12.5%;子宫内膜异位症患者宫内妊娠率62.50%,宫外妊娠率为0.00。结论:腹腔镜输卵管复通术联合中药治疗输卵管近端阻塞性不孕能有效提高妊娠率。
Objective: To investigate the efficacy of laparoscopic tubal recanalization combined with traditional Chinese medicine in the treatment of proximal tubal obstruction infertility. Methods: From April 2006 to October 2009, 61 patients undergoing laparoscopic tubal recanalization were enrolled. Among them, 45 patients underwent tubal anastomosis and 16 patients underwent tubal implantation. And Tao Road No. 2 to retain enema three courses; follow-up of 3 to 24 months of pregnancy statistics. Results: All the 61 surgeries were successful without laparotomy. Postoperative follow-up, intrauterine pregnancy rate of 88.00% patients after tubal sterilization, ectopic pregnancy rate was 0.00; intrauterine pregnancy rate of tubal salpingitis patients 50.00%, ectopic pregnancy rate 8.33%, intra-uterine inflammation fibrosis patients The pregnancy rate was 31.25% and the ectopic pregnancy rate was 12.5%. The intrauterine pregnancy rate was 62.50% in patients with endometriosis and the ectopic pregnancy rate was 0.00. Conclusion: Laparoscopic tubal recanalization combined with traditional Chinese medicine in the treatment of proximal tubal obstruction infertility can effectively improve the pregnancy rate.