宫腹腔镜联合中药治疗输卵管性不孕症

Hysteroscopy and laparoscopy combined with traditional Chinese medicine in treatment of tubal infertility

目的观察宫腹腔镜联合中药治疗输卵管性不孕症的临床效果。方法选取2009年1月-2012年6月采用宫腹腔镜治疗的输卵管性不孕症患者80例为对照组,2012年7月-2014年12月采用宫腹腔镜联合中药治疗输卵管性不孕症患者60例为治疗组,观察术后6个月和1年内两组的妊娠情况。结果治疗组术后6个月内宫内妊娠率为48.33%,对照组为31.25%,两组比较,差异有统计学意义（χ^2=4.223,P〈0.05）;治疗组术后1年内宫内妊娠率为60.00%,对照组为42.50%,两组比较,差异有统计学意义（χ^2=4.200,P〈0.05）。结论宫腹腔镜联合活血化瘀、散结通络中药治疗输卵管性不孕症,可提高术后1年内宫内妊娠率。

Objective To observe the clinical effect of hysteroscopy and laparoscopy combined with traditional Chinese medicine in treatment of tubal infertility. Methods Eighty patients with tubal infertility treated by hysteroscopy and laparoscopy from January 2009 to June 2012 were selected as control group,sixty patients with tubal infertility treated by hysteroscopy and laparoscopy combined with traditional Chinese medicine from July 2012 to December 2014 were selected as treatment group,the pregnancy rates after 6 and 12 months of treatment in the two groups were observed. Results The intrauterine pregnancy rates after 6 months of treatment in treatment group and control group were 48. 33% and 31. 25%,respectively,there was statistically significant difference between the two groups（ χ^2= 4. 223,P〈0. 05）;the intrauterine pregnancy rates after one year of treatment in treatment group and control group were 60. 00% and 42. 50%,respectively,there was statistically significant difference between the two groups（ χ^2= 4. 200,P〈0. 05）. Conclusion Hysteroscopy and laparoscopy combined with traditional Chinese medicine can improve intrauterine pregnancy rate after one year in treatment of tubal infertility.