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目的:研究探讨腹腔镜手术结合中药灌肠对输卵管伞端粘连不孕的临床疗效。方法:2009年9月至2011年10月来我院就诊的输卵管(轻中度)伞端粘连不孕患者98例。随机分为治疗组与对照组各49例。两组均进行腹腔镜手术,对照组术后常规静脉滴注左氧氟沙星0.2,替硝唑0.8共6天以预防感染。治疗组除采用上述西医静脉点滴外,于手术后1月月经干净后2天采用中药灌肠。结果:治疗组治疗后1年妊娠率为75.51%,而对照组为51.62%;两组出生率比较治疗组97.3%,对照组72.0%,差异有统计学意义(△P<0.05)。结论:腹腔镜手术结合中药灌肠对输卵管伞端粘连不孕可取得显著的临床疗效。
Objective: To study the clinical efficacy of laparoscopic surgery combined with traditional Chinese medicine enema on tubal adhesions. Methods: From September 2009 to October 2011, 98 cases of tubal infertility (mild to moderate) adhesions in our hospital were treated. Randomly divided into treatment group and control group, 49 cases each. Laparoscopic surgery was performed in both groups. In the control group, routine intravenous infusion of levofloxacin 0.2 and tinidazole 0.8 for 6 days were used to prevent infection. The treatment group in addition to using the above Western medicine intravenous drip, in January after menstruation clean 2 days after using traditional Chinese medicine enema. Results: The pregnancy rate in the treatment group was 75.51% at 1 year after treatment, compared with 51.62% in the control group. The birth rate in the two groups was 97.3% in the treatment group and 72.0% in the control group, with significant difference (P <0.05). Conclusion: Laparoscopic surgery combined with traditional Chinese medicine enema tubal adhesions can achieve significant clinical efficacy.