中西医结合对输卵管妊娠保守手术后输卵管通畅度的影响研究

目的：探讨输卵管妊娠保守手术并中西医结合治疗对输卵管通畅度的影响。方法：将30例输卵管妊娠保守手术患者分为3组,A组为中西医结合组：术中患侧输卵管系膜注射甲氨蝶呤（MTX）20毫克＋术后服用宫外孕方;B组为中药组：术后服用宫外孕方;C组为西药组：术中患侧输卵管系膜注射甲氨蝶呤（MTX）20毫克;比较三组患者恢复月经后的输卵管通畅度。结果：A组中输卵管通畅率80%（8例）,B组50%（5例）,C组30%（3例）,A组与BC组比较,差异有统计学意义（P〈0.05）,A组的输卵管通畅度较B组及C组高。结论：中西医结合治疗能提高输卵管妊娠保守手术患者的输卵管通畅度。

Study on the Effect of Integrated Traditional Chinese and Western Medicine on Tubal Patency after Conservative Surgery of Tubal Pregnancy

Objective： To study the effect of integrated traditional Chinese and western medicine on tubal patency after conservative surgery of tubal pregnancy. Method： 30 patients with conservative surgery of tubal pregnancy were divided into three groups. A group （integrated group） ： 20rag methotrexate were injected into affected side of fallopian tube during the operation. After operation, patients were orally taken recipe for ectopic pregnancy; B group （ TCM group） ： Patients were orally taken recipe for ectopic pregnancy after operation C group （western medicine group） ： 20mg methotrexate were injected into patients affected side of fallopian tube during the operation. Three groups＇tubal pateney were compared after menstruation recovery. Result： The tubal patent rates were 80% （8 eases） in A group, 50% （5 cases） in B group and 30% （3 cases） in C group. The difference was statically significant. （ P〈0. 05）. Conclusion： Integrated traditional Chinese and western medicine therapy can improve tubal patency in patients with conservative surgery of tubal pregnancy.