介入疗法在妇产科中的应用

目的：探讨介入疗法在妇产科输卵管粘连闭塞的应用.方法：选取2008年1月至2009年6月我院妇产科收治的输卵管粘连闭塞患者176例,随机分为观察组88例,对照组88例,观察组行介入输卵管再通术,对照组行传统输卵管显微外科吻合术和宫内输卵管再通植入术,观察两组两组患者的临床疗效及随访1年后的受孕率.结果：观察组输卵管再通率为89.7%,对照组再通率为74.8%,术后随访1-3年,观察组受孕率58.4%,对照组为32.6%,观察组输卵管再通率及受孕率均显著优于对照组,P〈0.05,具有统计学意义.结论：介入疗法较传统疗法治疗输卵管性不孕症具有不需要开刀,疏通部位精确,疗效确切,安全性高,损伤小、恢复快,且最大程度上保护和保留了正常组织和器官的优点,值得临床推广应用.

objective： to study the intervention using oviduct inflammatory block therapy in the application of obstetrics and gynecology. Methods ： select in January 2008 to June 2009, using oviduct inflammatory 57.0% obstetrics and gynecology hospital patients with occlusive 176 eases were randomly divided into observation group 88 cases and control 88, the observation group do intervention oviduct recan alization technique, the control group did tubal microsurgical anastomosis and traditional intrauterine oviduct recan alization implantation, observe the two groups of two sets of pa- tients were followed up for one years clinical effectiveness and the decreases. Results： the observation group oviduct ZaiTongLv 89.7~/~, controls for ZaiTongLv 74.8 %, for follow--up of 1- 3 years, the observation group 32.6% group and tucking into 58.4%, the observation group were significantly decreases ZaiTongLv and tubal better than control group, P 〈 0.05, with statistical significance. Conclusion interventional therapy compared to traditional treatments for oviduct infertility has no need of operation, precise, dredge parts definite effect, high safety, a little injury, rapid recovery, and largest extent protect and preserve the normal tissues and organs, worth the advantages of clinical application.