宫腔镜联合中药灌肠治疗宫外孕后输卵管阻塞临床观察

Clinical observation of post-hysteroscopy enema therapy ectopic tubal obstruction

目的观察宫腔镜手术联合中药化瘀方灌肠治疗宫外孕后输卵管阻塞的临床疗效。方法收集我院妇科门诊2010年1月至2013年8月收治的宫外孕后输卵管阻塞患者104例,随机分为观察组和对照组各52例。对照组患者使用宫腔镜行双侧输卵管通液术,观察组在对照组治疗基础上配合活血化瘀方中药灌肠治疗,每晚一次,共7天,3个月经周期为一个疗程。结果观察组总有效率为86.54%,复通率为57.69%,对照组总有效率为75.00%,复通率为40.38%,两组比较统计学有显著性差异(P<0.05)。结论宫腔镜联合中药灌肠治疗,可明显提高输卵管阻塞的治愈率及受孕率,且经济、方便,值得临床推广应用。

Objective To observe the hysteroscopy combined clinical efficacy of traditional Chinese medicine Huayu Recipe enema treatment of ectopic pregnancy after tubal occlusion .Methods Hospital gynecology clinic in January 2010 -August 2013 after the ectopic tubal obstruction treated 104 patients ,52 cases were randomly divided into the observation group and the control group .The control group patients underwent bilateral hysteroscopic tubal surgery , observation group with blood circulation parties enema therapy treatment in the control group , based on the first night , a total of seven days , three menstrual cycles as a course .Results The total effective rate was 86.54%,recanalization rate was 57.69%in the control group,the total effective rate was 75.00%,40.38%recanalization rate of the two groups was statistically significant difference （P〈0.05）. Conclusions Hysteroscopy enema therapy can significantly improve the cure rate of tubal obstruction and pregnancy rates , and the economic , convenient , worthy of clinical application .