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目的:观察活血通管方联合腹腔镜手术治疗输卵管远端阻塞性不孕患者的临床疗效。方法:对行腹腔镜远端输卵管再通手术治疗、并确诊为远端输卵管阻塞性不孕症患者60例,随机分为2组各30例。所有患者均行腹腔镜远端输卵管再通手术,对照组加用地塞米松5 mg+庆大霉素8万U+生理盐水20 m L+α-糜蛋白酶4000 U作通液术治疗,治疗组加用自拟活血通络方治疗,连用3个月经周期,随访6月,观察比较妊娠情况并进行统计分析。结果:总有效率治疗组为96.6%,对照组为66.6%,2组比较,差异有统计学意义(P<0.01)。宫内妊娠率、异位妊娠率治疗组分别为30.00%、3.33%,对照组分别为13.33%、10.00%,2组比较,差异均无统计学意义(P<0.05)。结论:活血通管方联合腹腔镜治疗输卵管远端阻塞性不孕疗效良好,在一定程度上提高宫内妊娠率,降低异位妊娠率。
Objective: To observe the curative effect of Huoxuetong Recipe combined with laparoscopic surgery in treatment of obstructive infertility patients with distal tubal obstruction. Methods: Laparoscopic distal tubal recanalization surgery and diagnosed as distal tubal obstruction infertility 60 patients were randomly divided into two groups of 30 cases. All patients underwent laparoscopic distal tubal recanalization, the control group plus dexamethasone 5 mg + gentamicin 80,000 U + normal saline 20 m L + α-chymotrypsin 4000 U for the treatment of fluid treatment group used Since Huoxuetongluo Fang treatment, once every 3 menstrual cycles, followed up for 6 months, observed and compared the pregnancy and statistical analysis. Results: The total effective rate was 96.6% in the treatment group and 66.6% in the control group. There was significant difference between the two groups (P <0.01). The intrauterine pregnancy rate and ectopic pregnancy rate were 30.00% and 3.33% respectively in the control group and 13.33% and 10.00% in the control group respectively. There was no significant difference between the two groups (P <0.05). Conclusion: Huoxuetongfang combined with laparoscopic treatment of distal tubal obstruction infertility has a good effect, to a certain extent, improve intrauterine pregnancy rate and reduce the rate of ectopic pregnancy.