中药联合理疗对预防输卵管再通术后粘连的临床价值探讨

To Approach the Clinical Effect of Chinese Traditional Medicine Combined with Physiatrics in Preventing Adhesion After Fallopian Tube Recanalization

目的探讨中药联合理疗在预防输卵管再通术后粘连中的临床价值。方法搜集经输卵管造影证实为输卵管阻塞并行输卵管再通术成功者共154例,分为实验组和对照组,其中实验组80例采用中药联合理疗;对照组74例未采取任何干预措施。对两组患者进行随访,1年后了解其受孕情况,受孕者默认为输卵管再通成功,未孕者再次进行输卵管造影,观察其输卵管粘连情况。然后用SPSS 13.0软件进行统计学分析,采用χ2检验,检验水准α=0.05。结果实验组受孕率为55.0%,再粘连率为22.6%;对照组受孕率为33.8%,再粘连率为44.4%。经统计学分析,其差异有统计学意义(χ2=11.98,P<0.01)。结论中药联合理疗对输卵管再通术后再粘连的预防有显著作用,有助于提高输卵管再通术后患者的受孕率,值得广泛推广。

Objective To approach the clinical effect of Chinese traditional medicine combined with physiatrics in pre-venting adhesion after fallopian tube recanalization. Methods 154 cases of tubal infertility confirm by salpingography un- derwent fallopian tube recanalization. The patients were divided into 2 groups. The Experimental group included 80 pa-tients, who were treated using Chinese traditional medicine combined with physiatrics. The control group included 74 pa-tients, who did not treated after recanalization. The patients of two groups were followed up for 1 year after recanalization. Pregnancy was regarded as recanalization successful, unpregnancy patients underwent salpingography examination to observe the adhesion of fallopian tube. Results The pregnancy rate and occurrence rate of adhesion after recanalization were 55.0% and 22.6% in experimental group, 33.8% and 44.4% in control group （P〈0.05）. Condusion Chinese tra-ditional medicine combined with physiotherapy have significant clinical effect to preventing adhesion after recanalization.