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目的观察宫腹腔镜联合中药治疗输卵管性不孕症的临床效果。方法选取2009年1月-2012年6月采用宫腹腔镜治疗的输卵管性不孕症患者80例为对照组,2012年7月-2014年12月采用宫腹腔镜联合中药治疗输卵管性不孕症患者60例为治疗组,观察术后6个月和1年内两组的妊娠情况。结果治疗组术后6个月内宫内妊娠率为48.33%,对照组为31.25%,两组比较,差异有统计学意义(χ~2=4.223,P<0.05);治疗组术后1年内宫内妊娠率为60.00%,对照组为42.50%,两组比较,差异有统计学意义(χ~2=4.200,P<0.05)。结论宫腹腔镜联合活血化瘀、散结通络中药治疗输卵管性不孕症,可提高术后1年内宫内妊娠率。
Objective To observe the clinical effect of hysteroscope combined with traditional Chinese medicine in the treatment of tubal infertility. Methods 80 cases of tubal infertility treated with hysteroscope from January 2009 to June 2012 were selected as the control group. From July 2012 to December 2014, laparoscopy combined with traditional Chinese medicine was used to treat tubal infertility 60 patients as treatment group, observe the 6 months and 1 year after the pregnancy in both groups. Results The intrauterine pregnancy rate was 48.33% within 6 months after operation in the treatment group and 31.25% in the control group. There was significant difference between the two groups (χ ~ 2 = 4.223, P <0.05) Intrauterine pregnancy rate was 60.00% in the control group was 42.50%, the difference between the two groups was statistically significant (χ ~ 2 = 4.200, P <0.05). Conclusions Hysteroscopy combined with promoting blood circulation and removing blood stasis and Sanjie Tongluo Chinese medicine in treating tubal infertility can improve intrauterine pregnancy rate within 1 year after operation.