术后联合腹针治疗输卵管阻塞性不孕对提高妊娠率及促进恢复的价值

Value of treating infertility caused by tubal obstruction combining with abdominal acupuncture after laparoscopic surgery in improving pregnancy rate and promoting recovery

目的:探讨输卵管阻塞性不孕的临床特点,分析腹腔镜术后联合腹针治疗对提高妊娠率及促进恢复的意义。方法:采取前瞻性随机数字法的方案,将确诊接受治疗的输卵管阻塞性不孕的82例患者依照随机法分为A组(40例,单纯手术治疗)和B组(42例,术后联合腹针治疗),总结术后1年妊娠情况以及畅通情况。结果:两组妊娠率以及宫内妊娠率比较,差异有统计学意义(P<0.05),A组的异位妊娠率为7.50%,B组的异位妊娠率为2.38%,两组比较,差异无统计学意义(P>0.05),两组的半年内以及半年后妊娠率比较,差异无统计学意义(P>0.05)。研究中,共妊娠42例,半年内妊娠32例(76.19%),半年后妊娠10例(23.81%),半年内以及半年后妊娠率比较,差异有统计学意义(P<0.05),两组总有效率比较,差异有统计学意义(P<0.05)。结论:在术后联合腹针治疗输卵管阻塞性不孕患者,对提高妊娠率及促进输卵管畅通与恢复有较好的效果,安全无副作用,值得各医院借鉴推广。

Objective： To explore the clinical characteristics of infertility caused by tubal obstruction, analyze the significance of laparoseopic surgery combined with abdominal acupuncture in improving pregnancy rate and promoting recovery. Methods： A prospective random number table was used to selected 82 patients diagnosed as infertility caused by tubal obstruction definitely and treated in the hospi- tal, and then they were randomly divided into group A （40 patients treated with laparoscopic surgery） and group B （42 patients treated with laparoscopic surgery combined with abdominal acupuncture） ; the one - year pregnancy rate and tubal patency or not after treatment were summarized. Results： There were statistically significant differences in the pregnancy rate and intrauterine pregnancy rate between the two groups （P 〈0. 05） , the rates of ectopic pregnancy in group A and group B were 7.50% and 2. 38% , respectively, there was no Statistically significant difference between the two groups （ P 〉 0. 05 ） , there was no statistically significant difference between the pregnancy rate within half a year and the pregnancy rate after half a year in the two groups （P 〉 0. 05） ; a total of 42 women got pregnancy, including 32 women （76. 19% ） within half a year and 10 women （23.81% ） after half a year, there was statistically significant difference between the pregnancy rate within half a year and the pregnancy rate ＇after half a year （ P 〈 0. 05 ） , there was statistically significant difference in the total effective rate between the two groups （ P 〈 0. 05 ） . Conclusion： Treating patients with infertility caused by tubal obstruction with abdominal acu- puncture after laparoscopic surgery has good effect in improving pregnancy rate and promoting tubal pateney and recovery, which has the ad- vantages of safety and no adverse reactions, and the method is worthy to be applied and popularized in hospitals.