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目的:观察芪藤通络汤配合腹腔镜治疗慢性输卵管炎性不孕的临床疗效。方法:将60例患者随机分为中药组40例和对照组20例,2组均行腹腔镜手术将输卵管形态恢复正常,术后予抗感染等处理。中药组术后第8天服芪藤通络汤,经期停用,治疗3月;对照组术后不予中药干预。6月后观察2组妊娠情况。结果:治疗后腹痛消失率中药组为97.5%,对照组为60.0%,2组比较,差异有非常显著性意义(P<0.01)。妊娠率中药组为80.0%,对照组为40.0%,2组比较,差异有非常显著性意义(P<0.01)。结论:芪藤通络汤配合腹腔镜治疗慢性输卵管炎性不孕疗效优于单纯腹腔镜手术治疗。
Objective: To observe the clinical efficacy of Qitutongluo Decoction combined with laparoscopy in the treatment of chronic tubal infertility. Methods: 60 patients were randomly divided into traditional Chinese medicine group of 40 cases and control group of 20 cases. Both groups underwent laparoscopic surgery to restore tubal morphology to postoperative anti-infective treatment. On the 8th day after operation, the Chinese herbal medicine group was given JiTutongluo Decoction, which was stopped during menstruation and treated for 3 months. In the control group, no Chinese intervention was given after operation. After 6 months observed 2 groups of pregnancy. Results: The disappearance rate of abdominal pain after treatment was 97.5% in the traditional Chinese medicine group and 60.0% in the control group. There was significant difference between the two groups (P <0.01). The pregnancy rate was 80.0% in the traditional Chinese medicine group and 40.0% in the control group. There was significant difference between the two groups (P <0.01). Conclusion: Qitutongluo Decoction combined with laparoscopic treatment of chronic tubal infertility is better than simple laparoscopic surgery.