宫腹腔镜联合手术配合中药治疗输卵管阻塞性不孕

Traditional Chinese Drug Administration Following Hysteroscopy Combined with Laparoscopy for Infertility Caused by Fallopian Tube Obstruction

目的探讨宫腹腔镜联合手术配合术后中药少腹逐瘀汤加减方治疗输卵管阻塞性不孕症的效果。方法双侧输卵管阻塞的92例不孕症患者,随机分为两组:研究组62例,行宫腹腔镜联合手术,配合术后中药少腹逐瘀汤加减方治疗;对照组30例,单纯行宫腹腔镜联合手术。结果研究组和对照组术中输卵管通畅率分别为95.2%和95.0%,无统计学差异(P>0.05)。术后1月输卵管通畅率,研究组91.1%,高于对照组80.0%(P<0.05)。术后1年宫内妊娠率,研究组75.8%,对照组63.3%,两组有统计学差异(P<0.05)。结论宫腹腔镜联合手术配合术后中药少腹逐瘀汤加减方能有效防治输卵管阻塞再通术后粘连,明显提高手术成功率及术后妊娠率。

Objective To explore the effect of Shaofuzhuyu decoction administration following hysteroscopy combined with laparoscopy for infertility caused by fallopian tube obstruction. Methods 92 cases of double fallopian tube obstruction were randomized into two groups, including research group of 62 cases received Shaofuzhuyu decoction following hysteroscopy combined with laparoscopy, and control group of 30 cases received surgery only. Results The intra-operative patency rate of fallopian tube was 95.2% and 95.0% in the research and control group respectively, and one-month later patency rate was 91.1% and 80.0% respec- tively. The one-year intrauterine gestation rate was 75.8% and 63.3% in the research and control group respectively. There were significant differences of the one-month later patency rates and one-year intrauterine gestation rates between the two groups （P 〈 0.05）. Conclusion It can achieve a recommendable effect of hyst- eroscopy combined with laparoscopy followed by Shaofuzhuyu decoction for infertility caused by fallopian tube obstruction, concluded from the prevention of post-operative conglutination, increasing the operative achievement ratio, and post-operative pregnancy rate.