优选输卵管助孕预防异位妊娠的疗效观察

目的 探讨优选输卵管助孕的疗效及预防异位妊娠的效果.方法 将379例不孕症患者按随机数字表法分成两组,对照组187例,试验组192例.对照组接受综合优化治疗,试验组接受综合优化治疗及优势输卵管侧助孕治疗.所有患者均接受子宫输卵管造影检查,试验组用超声监测卵泡以确定优势卵泡,均观察6个排卵周期.结果 试验组的官内妊娠率43.23%(83/192)]明显高于对照组31.55%(59/187)](P<0.05),异位妊娠率5.21%(10/192)]明显低于对照组10.70%(20/187)](P<0.05),未受孕率51.56%(99,192)]与对照组57.75%(108/187)]比较差异无统计学意义(P＞0.05).输卵管通而不畅者异位妊娠率12.59%(18/143)]高于输卵管阻塞2.63%(2/76)]和输卵管尚通者2.70%(2/74)](P<0.05).结论 通过子宫输卵管造影确定优势输卵管,辅以超声监测卵泡发育确定优势卵泡,可使主卵泡在较好输卵管侧卵巢发育并受孕,提高宫内妊娠率,预防异位妊娠的发生.

Observation of the therapeutic effect on the prevention of eccyesis by optimizing fallopian tube to be pregnant

Objective To explore the therapeutic effect on the prevention of eccyesis by optimizing fallopian tube to be pregnant.Methods Three hundred and seventy-nine patients with infertility were divided into two groups:control group with 187 patients received the combined optimized treatment,and study group with 192 patients received the combined optimized treatment and optimizing fallopian tube to be pregnant.All patients received the hysterosalpingography uterosalpingography(HSU)whik the patients of the study group received the ultraphonic monitor for the.dominant follicle besides for 6 ovulatory cycle.Results There were intrauterine gestation 59 patients(31.55%,59/187),eccyesis 20 patients(10.70%,20/187)and infertility 108 patients(57.75%,108/187)in control group while there were intrauterine gestation 83 patients(43.23%,83/192),eccyesis 10 patients(5.21%,10/192)and infertility 99 patients (51.56%,99/192)in study group.The intrauterine gestation rate in study group was higher than that in control group(P<0.05),and the eccyesis rate was lower than that in control group(P<0.05).But there was no significant difference in the infertility rate between two groups(P＞0.05).The eccyesis rate in fallopian tube unsmooth was higher than that in salpingemphraxis and fallopian tube canalization respectively12.59%(18/143),2.63%(2/76),2.70%(2/74),P<0.05].Conclusion Selecting the optimizing fallopian tube by HSU and monitoring the dominant follicle by ultraphonic to guide pregnancy can let the dominant follicle grow and conceive in the optimizing fallopian tIlbe,and this treatment can raise the intrauterine gestation rate and decrease the cause of eccyesis.