本文選題：不孕癥 + 輸卵管阻塞��； 參考：《山東醫(yī)藥》2017年03期

【摘要】：目的觀察輸卵管機(jī)械疏通(輸卵管再通術(shù))聯(lián)合臭氧注射治療輸卵管阻塞性不孕癥的臨床療效。方法輸卵管阻塞性不孕癥患者105例,隨機(jī)分為觀察組53例、對(duì)照組52例。觀察組在血管造影引導(dǎo)下行輸卵管再通術(shù)聯(lián)合臭氧輸卵管內(nèi)注射治療;對(duì)照組僅行輸卵管再通術(shù)。分別于術(shù)后3 d、1周及1個(gè)月門(mén)診通液觀察并計(jì)算輸卵管通暢率;記錄術(shù)后6~12個(gè)月宮內(nèi)妊娠率;術(shù)后3個(gè)月行子宮輸卵管造影(HSG)檢查評(píng)價(jià)療效;觀察并發(fā)癥發(fā)生情況。結(jié)果觀察組術(shù)后3 d、1周、1個(gè)月輸卵管通暢率分別為100%、96.23%、94.34%,對(duì)照組分別為94.23%、88.46%、84.62%,兩組相比,P0.05。術(shù)后3個(gè)月,觀察組手術(shù)有效率為90.57%,高于對(duì)照組的75.00%(P均0.05)。隨訪6~12個(gè)月,觀察組宮內(nèi)妊娠率為60.38%,高于對(duì)照組的40.38%(P0.05)。觀察組和對(duì)照組分別有38、11例出現(xiàn)術(shù)中下腹部脹痛,均可忍受;觀察組和對(duì)照組分別有17、8例出現(xiàn)輕度惡心、嘔吐等血管迷走神經(jīng)反應(yīng),對(duì)癥處理后均于30 min內(nèi)緩解;所有患者術(shù)后無(wú)繼發(fā)感染,無(wú)子宮、輸卵管穿孔等嚴(yán)重并發(fā)癥發(fā)生。結(jié)論輸卵管機(jī)械疏通聯(lián)合臭氧注射治療輸卵管阻塞性不孕癥輸卵管復(fù)通率高,術(shù)后宮內(nèi)妊娠率高,不良反應(yīng)較輕。
[Abstract]:Objective to observe the clinical effect of tubal mechanical recanalization combined with ozone injection in the treatment of oviduct obstructive infertility. Methods 105 patients with oviduct obstructive infertility were randomly divided into observation group (53 cases) and control group (52 cases). The observation group received fallopian tube recanalization guided by angiography combined with ozone intrafallopian tube injection, while the control group only underwent fallopian tube recanalization. The rate of tubal patency was observed and calculated at 1 week and 1 month after operation, the intrauterine pregnancy rate was recorded from 6 to 12 months after operation, the curative effect was evaluated by hysterosalpingography at 3 months after operation, and the occurrence of complications was observed. Results the patency rate of oviduct in the observation group was 100, 96.23 and 94.34, respectively, and that in the control group was 94.238.46 and 84.62, respectively, compared with P0.05 in the two groups. 3 months after operation, the effective rate of operation in the observation group was 90.57, which was higher than that in the control group (75.00 and 0.05). The rate of intrauterine pregnancy in the observation group was 60.38, which was higher than that in the control group (40.38). In the observation group and the control group, there were 38 cases of pain in the lower abdomen, which could be tolerated, and 178 cases in the observation group and the control group, such as slight nausea, vomiting and other vasovagal nerve reactions, which were relieved within 30 min after symptomatic treatment. No secondary infection, uterus, tubal perforation and other serious complications occurred in all patients. Conclusion the rate of fallopian tube recanalization and intrauterine pregnancy is high and the adverse reaction is mild in patients with oviduct obstructive infertility treated by oviduct mechanical dredging combined with ozone injection.
【作者單位】： 中國(guó)人民解放軍第97醫(yī)院;中國(guó)人民解放軍95829部隊(duì)門(mén)診部;
【分類號(hào)】：R711.6

【相似文獻(xiàn)】

相關(guān)期刊論文 前10條

1 曹智瑩;張?jiān)椒f;;輸卵管注藥治療輸卵管梗阻性不孕的探討[J];中國(guó)社區(qū)醫(yī)師(綜合版);2006年23期

2 王衛(wèi)華;輸卵管走行異常的手術(shù)治療[J];實(shí)用醫(yī)技雜志;1997年08期

3 趙燦,丁素娟,房湘皖;輸卵管宮角移植102例分析[J];河南診斷與治療雜志;1999年02期

4 牛小雙;;輸卵管通不通如何知[J];大家健康;2012年11期

5 董文哲,孫玉蓉,王愛(ài)波;經(jīng)自制導(dǎo)管疏通、注藥治療輸卵管近端阻塞356例療效觀察[J];山東醫(yī)藥;2004年24期

6 李軍;楊靜;吳林玲;;中西醫(yī)結(jié)合治療輸卵管不孕72例[J];中國(guó)中西醫(yī)結(jié)合雜志;2007年11期

7 鐘華;蒙俊;李晶晶;賀紅英;;輸卵管宮角植入治療輸卵管近端堵塞性不孕31例[J];實(shí)用醫(yī)學(xué)雜志;2008年22期

8 張文秀;;藥物保留灌腸治療輸卵管因素性不孕52例臨床分析[J];中國(guó)現(xiàn)代醫(yī)生;2009年23期

9 許燕雪;金孝蘭;;輸卵管注藥治療輸卵管梗阻性不孕的探討(附治療后67例妊娠報(bào)告)[J];中級(jí)醫(yī)刊;1989年02期

10 吳炳昕;輸卵管閉塞的原因與治療[J];國(guó)外醫(yī)學(xué)(計(jì)劃生育分冊(cè));1995年02期

相關(guān)會(huì)議論文 前4條

1 彭臘梅;李福順;;通調(diào)助孕丸和活絡(luò)助孕丸聯(lián)合治療輸卵管因素性不孕83例療效觀察[A];湖北省性學(xué)會(huì)第二屆第二次學(xué)術(shù)年會(huì)論文集[C];2005年

2 王穎;;宮腔鏡卵管插管術(shù)在不孕癥中的應(yīng)用(摘要)[A];第四次中西醫(yī)結(jié)合實(shí)驗(yàn)醫(yī)學(xué)學(xué)術(shù)會(huì)議論文集[C];2000年

3 郭瓊;連方;;從因“輸卵管因素”行IVF-ET助孕失敗后自然妊娠談“輸卵管因素”診斷標(biāo)準(zhǔn)[A];2010全國(guó)中西醫(yī)結(jié)合圍絕經(jīng)期專題學(xué)術(shù)會(huì)議論文集[C];2010年

4 郭瓊;連方;;從“輸卵管因素”行IVF-ET助孕失敗后自然妊娠談“輸卵管因素”診斷標(biāo)準(zhǔn)[A];第十次全國(guó)中醫(yī)婦科學(xué)術(shù)大會(huì)論文集[C];2010年

相關(guān)碩士學(xué)位論文 前8條

1 李勇愛(ài);輸卵管積液的MRI研究[D];復(fù)旦大學(xué);2014年

2 張婧;超聲引導(dǎo)下子宮輸卵管造影術(shù)耐受性和安全性評(píng)估及相關(guān)因素探討[D];江蘇大學(xué);2016年

3 劉慧;中藥綜合治療輸卵管因素性不孕的療效分析[D];北京中醫(yī)藥大學(xué);2012年

4 鐘小東;家兔輸卵管性不孕模型HSG動(dòng)態(tài)影像與病理特征[D];廣州中醫(yī)藥大學(xué);2013年

5 李衛(wèi);孕激素受體的拮抗劑—米非司酮增強(qiáng)離體輸卵管的收縮頻率，，減輕金黃色葡萄球菌所致的輸卵管病理性粘連[D];蘭州大學(xué);2006年

6 夏冰;許潤(rùn)三名老中醫(yī)治療輸卵管因素性不孕癥的數(shù)據(jù)挖掘結(jié)果簡(jiǎn)析[D];北京中醫(yī)藥大學(xué);2011年

7 彭亞寧;中藥多途徑聯(lián)合腹腔鏡治療輸卵管阻塞性不孕的臨床觀察[D];廣州中醫(yī)藥大學(xué);2014年

8 譚茗丹;中藥敷藥灌腸配合腹腔鏡治療輸卵管阻塞性不孕的療效分析[D];廣州中醫(yī)藥大學(xué);2012年

本文編號(hào)：2010042