Tubal obstructive infertility is one of the most common causes of female infertility.At present,the main treatment is surgical mechanical dredging and restoration of tubal anatomy.Although the success rate of recanali...Tubal obstructive infertility is one of the most common causes of female infertility.At present,the main treatment is surgical mechanical dredging and restoration of tubal anatomy.Although the success rate of recanalization is high,the postoperative reocclusion rate is also high.In addition to the destruction of fallopian tubal function,it seriously affects the long-term pregnancy rate of women.Therefore,how to reduce the re-adhesion rate after recanalization is a more concerned issue at present.This article reviews the research progress of drug therapy for anti-adhesion after recanalization of tubal obstructive infertility.展开更多
Objective To observe the clinical efficacy of prescription of Chinese medical retention enema, Chinese herbal decoction and acupncture at acupoints of thoroughfare vessel and conception vessel in treating tubal obstru...Objective To observe the clinical efficacy of prescription of Chinese medical retention enema, Chinese herbal decoction and acupncture at acupoints of thoroughfare vessel and conception vessel in treating tubal obstructive infertility. Methods One hundred and five patients with tubal obstructive infertility were randomly divided into 3 groups according to random number table （A, B and C） with 35 cases in each group）. The patients in group A were treated by retention enema with concentrated decoction of Taoren （核仁 Semen Persicae）, HGnghua （红花 Flos Carthami）, Lizhi He （荔枝核 Semen Litchi）, Juhe （橘核 Semen Citri Reticulatae） and other Chinese medicine; the patients in group B were given Chinese herbal decoction of Hongteng （红藤 Caulis Sargentodoxae）, BbijiGngcao （败酱草 Herba Patriniae）, Chishao （赤芍 Radix Paeoniae Rubra）, Xibkucao （夏枯草 Spica Prunellae） 20 g, Zbojiaoci （皂角刺 Spina Gleditsiae） and so on orally; the patients in group C were given acupuncture treatment by needling in ZhGngji （中极 CV 3）, Guanyuan （关元 CV 4）, O.ihai （气海 CV 6） and other acupoints with uniform reinforcing- reducing method and then combined with moxibustion for 15 min. The therapeutic effect of three groups was recorded after treatment of three menstrual cycles. Results The total effective rate of group A was 45.71%; the total effective rate of group B was 77.14%; the total effective rate of group B was 85.71%. The difference in statistics of group A and group B, Group A and group C had obvious statistical significance （both P〈0.05） but statistics of group B and group C had no statistical significance （P〉0.05）. Conclusion Different kinds of traditional Chinese medicine treatments all have an effect in treating tubal obstructive infertility, Chinese herbal decoction and acupncture in thoroughfare vessel and conception vessel have better effects than retention enema.展开更多
基金National R&D Program"Study on the Prevention and Control of Reproductive Health and Major Birth Defects"Key Special Project"Effect of Immunity on Gametogenesis and Embryo Development"(No.2018YFC1003900)。
文摘Tubal obstructive infertility is one of the most common causes of female infertility.At present,the main treatment is surgical mechanical dredging and restoration of tubal anatomy.Although the success rate of recanalization is high,the postoperative reocclusion rate is also high.In addition to the destruction of fallopian tubal function,it seriously affects the long-term pregnancy rate of women.Therefore,how to reduce the re-adhesion rate after recanalization is a more concerned issue at present.This article reviews the research progress of drug therapy for anti-adhesion after recanalization of tubal obstructive infertility.
基金Supported by Clinical Research Fund of Anhui Traditional Chinese Medical College(NO.:2009LC 2-014 B)
文摘Objective To observe the clinical efficacy of prescription of Chinese medical retention enema, Chinese herbal decoction and acupncture at acupoints of thoroughfare vessel and conception vessel in treating tubal obstructive infertility. Methods One hundred and five patients with tubal obstructive infertility were randomly divided into 3 groups according to random number table （A, B and C） with 35 cases in each group）. The patients in group A were treated by retention enema with concentrated decoction of Taoren （核仁 Semen Persicae）, HGnghua （红花 Flos Carthami）, Lizhi He （荔枝核 Semen Litchi）, Juhe （橘核 Semen Citri Reticulatae） and other Chinese medicine; the patients in group B were given Chinese herbal decoction of Hongteng （红藤 Caulis Sargentodoxae）, BbijiGngcao （败酱草 Herba Patriniae）, Chishao （赤芍 Radix Paeoniae Rubra）, Xibkucao （夏枯草 Spica Prunellae） 20 g, Zbojiaoci （皂角刺 Spina Gleditsiae） and so on orally; the patients in group C were given acupuncture treatment by needling in ZhGngji （中极 CV 3）, Guanyuan （关元 CV 4）, O.ihai （气海 CV 6） and other acupoints with uniform reinforcing- reducing method and then combined with moxibustion for 15 min. The therapeutic effect of three groups was recorded after treatment of three menstrual cycles. Results The total effective rate of group A was 45.71%; the total effective rate of group B was 77.14%; the total effective rate of group B was 85.71%. The difference in statistics of group A and group B, Group A and group C had obvious statistical significance （both P〈0.05） but statistics of group B and group C had no statistical significance （P〉0.05）. Conclusion Different kinds of traditional Chinese medicine treatments all have an effect in treating tubal obstructive infertility, Chinese herbal decoction and acupncture in thoroughfare vessel and conception vessel have better effects than retention enema.
