我们的网站为什么显示成这样?

可能因为您的浏览器不支持样式,您可以更新您的浏览器到最新版本,以获取对此功能的支持,访问下面的网站,获取关于浏览器的信息:

|本期目录/Table of Contents|

宫腹腔镜配合中药治疗输卵管性不孕的临床研究(PDF)

《云南中医学院学报》[ISSN:1000-2723/CN:53-1048/R]

期数:
2011年01期
页码:
35-38
栏目:
临床研究
出版日期:
2011-02-01

文章信息/Info

Title:
Observation on the Remedy of Hysteroscope And Laparoscope Combined with Chinese Medicine Therapy to treat Infertility Caused by Fallopian Tube Obstruction
作者:
李晓玲李萍施德丽张菊郑秋萍郭红张丽娟 高芳何玉宁
玉溪市中医医院,云南玉溪653100
Author(s):
LI xiao-lingLI pingSHI dei-liZHANG juZHENG qiu-pingGUO hongZHANG li-juanGAO fangHE yu-nin
Department of gynaecology and obstetrics of Hospital of Chinese Medicine of Yu Xi, Yunan, Postalcode: 653100,China.
关键词:
宫腔镜腹腔镜千金膏 清热调血汤不孕输卵管阻塞
Keywords:
hysteroscopelaparoscopeorally Chinese Traditional Medicinesoup to remove pathogenic heat from bloodinfertilityfallopian tube obstruction
分类号:
中图分类号:R27114文献标志码:A
DOI:
-
文献标识码:
A
摘要:
目的: 口服中药及中药保留灌肠在治疗盆腔炎性疾病导致输卵管阻塞性不孕的研究。方法:应用宫腔镜、腹腔镜检查及治疗后确诊为盆腔炎性疾病导致输卵管阻塞性不孕患者107人,随机分成手术组37人(A组)、手术+口服中药组30人(B组)、手术+口服中药+中药保留灌肠组40人(C组)。结果:C组的宫内妊娠率(5500%)高于A组(1351%)、B组(2333%);A组与B组宫内妊娠比较差异无显著性(P>005), A组与C组宫内妊娠比较差异有极显著性(P<001),B组与C组宫内妊娠比较差异有显著性(P<005)。结论:对盆腔炎性疾病导致输卵管阻塞性不孕的患者,宫腹腔镜手术治疗后配合口服中药及中药保留灌肠之疗效优于单纯宫腹腔镜手术或宫腹腔镜手术配合口服中药治疗者。
Abstract:
Objective:To study the feasibility of application of orally Traditional Chinese Medicine and Chinese herbal retention enema in the treatment of infertility caused by fallopian tube obstruction which results from pelvic inflammatory disease.Methods:the project coordinator made definite diagnosis of infertility caused by fallopian tube obstruction of 107 people from August in 2005 to January 2010 and separated them into 3 groups randomly:37 people in group A were treated exclusively by Operation,while 30 people in group B were treated by Operation,accompanying with orally traditional Chinese medicine treatment at the same time,and 40 people in group C were treated by the combination of operation,orally Traditional Chinese Medicine and Chinese herbal retention enema.Results:1.the rate of peoples uterine pregnancy in group C is 5500%,higher than 1351% in group A and 2333% in group B.2.The difference of uterine pregnancy in group A and group B is not distinctive(P>005),while the difference of that in group A and group C is distinctive(P<0001),and the difference of uterine pregnancy in group B and group C is less distinctive(p<005).Conclusion:For the patients of infertility caused by fallopian tube obstruction which results from pelvic inflammatory disease,treatment of operation via hysteroscope combined with laparoscope coordinating with Chinese Traditional Medicine by Enem-d is a better option than that of exclusive operation via hysteroscope combined with laparoscope and of operation via hysteroscope combined with laparoscope coordinating with orally Traditional Chinese Medicine.So this kind of treatment deserves widely promotion and application.

参考文献/References

[1]来佩琍.妇科疾病诊断标准[M].北京:科学出版社,2001:280.
[2]周伟生,张文宇,蔡欣.输卵管阻塞病因病理学研究进展[J].中国实用妇科与产科杂志,2010,26(5):398-400.
[3]张四友,郑敏,黄淑瑜.腹腔镜治疗输卵管远端阻塞性不孕症的疗效性分析[J].中国微创外科杂,.2002,2(3):158-159.
[4]Kasia JM,Raigi J,Doh AS,et al.Laparoscopic fimbrioplasty and neosalpingostomy.Experience of the yaounde general hospital,Cameroon(report of 194 cases)[J].Eur J Obstet Gynecol Reprod Biol,1997,73(1):71-77.
[5]Taylor RC,Berkowitz J,Mocomb PF.Role of laparoscopic salpingostomy in the treatment of hydorsalpinx[J].Fertil Steril,2001,75(3):594-600.
[6]黄晋琰,孙红燕.腹腔镜下输卵管状态评级对不孕症预后的临床分析[J].实用妇产科杂志,2007,23(7):436-437.
[7]罗云坚,孙塑伦.中医临床治疗特色与优势指南[M].北京:人民卫生出版社,2007:524-525.
[8]陈芳军,赵青,王欣.活血化淤中药预防妇科手术后盆腔粘连的动物实验研究[J].中国实用中西医杂志,2004,10(11):96-98.
[9]章建朝,陈晓燕.腹腔镜手术结合中药灌肠治疗慢性盆腔炎性不孕的体会[J].中国内镜杂志,2004,10(11):96-98.
[10]沈明秀.中医中药治疗盆腔炎性疾病初探[J].中医药在妇产科应用研讨,2009,(9):15.

备注/Memo

备注/Memo:
收稿日期:2010—12—02修回日期:2010—12—22作者简介:李晓玲(1963~),女,云南江川人,主任医师,主要从事妇科临床工作。
更新日期/Last Update: 2011-04-29