中西医结合治疗输卵管性不孕症的疗效观察

The observation of curative effect of integrated traditional Chinese and Western medicine in treating tubal infertility

目的观察宫腔镜下输卵管通液加口服桂枝茯苓胶囊及微波治疗输卵管性不孕症的临床效果。方法采用病例对照研究，A组（观察组）36例，行宫腔镜下输卵管通液加口服桂枝茯苓胶囊及微波治疗。B组（对照组）34例，单行宫腔镜下输卵管通液治疗。比较治疗前后两组临床症状及体征的变化、输卵管通畅度及妊娠率。结果治疗后3～6个月比较，A组症状、体征及妊娠率明显高于B组。有统计学差异（P〈0．05）；A组的输卵管通畅度（81．25％）高于B组（69．3％），但无统计学差异（P〉0．05）。结论宫腔镜下输卵管通液加口服桂枝茯苓胶囊及微波治疗输卵管性不孕症可以改善患者的临床症状及体征，明显提高妊娠率，改善输卵管通畅度。

Objective To reveal the clinical effect on patients with tubal infertility of tubal hydrotubation combined with Guizhi Fuling capsule and microwave. Methods We study the medical record by way of contraction. Group A included 36 cases,was given tubal hydrotubation with hysteroscope and Guizhi Fuling capsule and microwave. Group B included 34 cases,was given tubal hydrotubation with hysteroscope. We observe the changes of clinical symptoms and sighs, the anobstructed ratio of oviduct and the pregnant rate. Results Observing the changes of the two groups after three to six monthes therapy, the improvement of clinical symptoms and sighs and the pregnant rate of group A is better than that in group B. There is no significant difference between them （ P 〈 0. 05 ）. The anobstructed ratio of oviduct in group A is higher than group B. But there is no significant difference between them （ P 〉 0. 05）. Conclusion The tubal hydrotubation combined with Guizhi Fuling capsule and microwave can improve the clinical symptoms and signs of the tubal infertility, enhance the anobstructed ratio of oviduct and pregnant rate.