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目的探讨宫腔镜下微创配合内服中药治疗输卵管性不孕的疗效。方法随机选取要求生育的已婚育龄妇女41例,共80条输卵管(2例为一侧输卵管妊娠切除术后),采用输卵管通液治疗,证明输卵管完全阻塞30条,占37．5％(30/80);不完全阻塞50条,占62．5％(50/80)。结果经配合活血化淤,通经络治疗1-2周期,再次行官腔镜下通液治疗,输卵管通畅成功率6s．75％(55/80)。半年内随访20例,随访率48．78％(20／41),其中妊娠5例,妊娠率25．00％(5／20)。结论宫腔镜下插管治疗输卵管阻塞,具有直视下操作,动作准确,子宫内膜损伤小的优点,配合中药活血化瘀通经络,在共同作用下使输卵管恢复通畅,值得临床推广。
Objective To investigate the curative effect of hysteroscopic minimally invasive internal medicine combined with oral administration for treatment of tubal infertility. Methods Forty-one married women of childbearing age were enrolled in this study. Totally 80 tubal tubal tubal tubal tubal tubal tubal tuberculosis (2 cases of tubal pregnancy after one-side tubal resection) were randomly selected. Thirty tubal tubal obstruction was found, accounting for 37.5% (30 / 80); not completely blocked 50, accounting for 62.5% (50/80). Results With the promotion of blood stasis, meridians and collaterals treatment of 1-2 cycles, and again underwent endoscopic treatment of fluid, the success rate of tubal patency 6s. 75% (55/80). Six months follow-up was performed in 20 cases. The follow-up rate was 48.78% (20/41), of which 5 were pregnant and the pregnancy rate was 25.00% (5/20). Conclusion Hysteroscopic intubation for the treatment of tubal obstruction, with the operation under direct vision, accurate action, the advantages of small endometrial damage, with traditional Chinese medicine promoting blood circulation through the meridians, tubal smooth recovery under joint action, worthy of clinical promotion.