输卵管再通术联合中医治疗输卵管阻塞性不孕

目的　评价介入性输卵管再通术与中医药联合应用在治疗输卵管阻塞性不孕症方面的临床疗效。方法　对 38例输卵管阻塞性不孕病人的 76条输卵管,在DSA监视下,用Cook公司FTC-900输卵管再通系列器材进行输卵管阻塞再通术,手术前、后均辅以中医药侧穹隆封闭、灌肠治疗。结果　76条阻塞的输卵管中有 71条获得疏通,有效率为 93. 4%;术后随访半年, 38例不孕病人中有 25人受孕,受孕率为 67. 3%; 13例未受孕者中,有 8例出现输卵管的再阻塞。结论　输卵管再通术与中医药联合应用,简便安全,输卵管疏通率、术后受孕率均高于单纯行输卵管再通术或中医药治疗的病例,值得推广应用。

Combine Interventional Oviduct Recanalization with Traditional Chinese Medicine to Treat Infertility of Oviduct Obstruction

Objective To evaluate the efficacy of the combination interventional oviduct recanalization with traditional chinese medicine for infertile women with oviduct obstruction.Methods 38 cases with 76 oviduct obstruction were treated with FTC-900 oviduct recanalization apparatus guided with DSA,the apparatus was supplied by COOK company,before recanalization,assisted with side fornix vaginae and enema with traditional chinese medicine.Results Of 76 obstructive oviduct,71 oviduct were recanalization,the successful rates of recanalization were 93.4%;Of 38 infertile women ,25 cases become pregnant,the pregnant rates were 67.3%;Of 13 unsuccessful cases,8 cases turn out re-obstructived.Conclusion Combination interventional oviduct recanalization with traditional chinese medicine for infertile women with oviduct is a simple,safe,and more effective method,it has a high successful rates than either method solely,should be spreaded.