宫腔镜插管通液术配合中药治疗输卵管阻塞性不孕的临床观察

Clinical Observation of Hysteroscopic Cannulation Hydrotubation and Traditional Chinese Medicine on Treating Tubal Obstructive Infertility

目的:探讨宫腔镜插管通液术配合中药治疗输卵管阻塞性不孕的临床疗效。方法:回顾性分析2007年10月—2010年4月收治的输卵管阻塞性不孕患者181例,行宫腔镜插管疏通通液术配合中药口服治疗,共观察3个疗程。结果:181例患者输卵管复通成功率80.2%;随诊3～6个自然周期或药物促排卵周期,宫内妊娠率达25.4%。结论:宫腔镜插管通液结合中药可提高输卵管阻塞性不孕的治愈率,无损伤,远期疗效及病人依从性好,值得推广应用。

Objective ： To observe clinical curative effects of hysteroscopic cannulation hydrotubation and traditional Chinese medicine（TCM） on treating tubal obstructive infertility patients. Methods：It was a retrospective analysis from October 2007 to April 2010. 181 tubal obstructive infertility patients who were treated by hysteroscopic cannulation hydrotubation and TCM were observed in 3 courses. Results ：The rate of fallopian tube recanalization success was 80.2%. Through followed up for 3 - 6 natural cycles or drug ovulation cycle, the rate of intrauterine pregnancy was 25.4%. Conclusion：Hysteroscopic cannulation hydrotubation and TCM could improve the cure rate of tubal obstructive infertility. It had no damage and good long - term efficacy and patient compliance. It was worthy of popularization and application.