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时间:2017-12-10
《中药联合腹腔镜在盆腔粘连致不孕症诊治中的应用_张宁》由会员上传分享,免费在线阅读,更多相关内容在行业资料-天天文库。
1、第13卷第10期辽宁中医药大学学报Vol.13No.102011年10月JOURNALOFLIAONINGUNIVERSITYOFTCMOct.,2011中药联合腹腔镜在盆腔粘连致不孕症诊治中的应用张宁(山东中医药大学附属医院,山东济南250011)摘要:目的:探讨中药联合腹腔镜手术治疗慢性盆腔炎盆腔粘连所致不孕的效果及盆腔粘连程度等对术后妊娠率的影响。方法:收集经腹腔镜检查诊治的慢性盆腔炎盆腔粘连所致不孕的病例254例,随机分为两组:治疗1组采用中药配合腹腔镜手术治疗,治疗2组为单纯腹腔镜手术治疗,根据
2、术中所见将盆腔粘连程度分为轻、中、重三度,随访治疗后妊娠情况并探讨手术效果的影响因素。结果:(1)在盆腔轻度及中度粘连者中,治疗1组治疗后妊娠率明显高于治疗2组。(2)在重度病变者中,两组治疗后妊娠率、流产率及校正妊娠率均无显著性差异。(3)盆腔轻度粘连者术后妊娠率明显高于中度病变者和重度病变者。(4)不孕时间在≤2年的患者术后妊娠率明显高于不孕时间在3年以上的患者。结论:对轻、中度慢性盆腔炎盆腔粘连所致不孕的治疗中药联合腹腔镜手术效果明显优于单纯腹腔镜手术,腹腔镜术后妊娠率受盆腔粘连程度及不孕时间等的影
3、响。关键词:中药;腹腔镜;不孕症;盆腔粘连中图分类号:R271.14文献标识码:A文章编号:1673-842X(2011)10-0165-03ApplicationofChineseHerbsandLaparoscopyinDiagnosisandTreatmentofInfertilityDuetoChronicPelvicInflammationandPelvicAdhesionZHANGNing(AffiliatedHospitalofShandongUniversityofTraditionalC
4、hineseMedicine,Ji'nan250011,Shandong,China)Abstract:Objective:ToevaluatethevalidityofChineseherbsandlaparoscopyfortreatmentofinfertilityduetochronicpelvicinflammationandtheinfluenceofthedegreeofpelvicadhesiononthepostoperativepregnancyrate.Methods:254case
5、swhosefinaldiagnosiswereinfertilityduetochronicpelvicinflammationwerecollectedandwereclassifiedthedegreeofpelvicadhesion.Afteroperation,dividedinto2groupsradomly:treat1groupweretreatedwithChineseherbsandtreat2groupweretreatedwithonlyoperationandthendiscus
6、sedtheinfluenceofsomefactorsontheresult.Results:(1)Inpatientswithmildandmoderatepelvicadhesiontheposttreatmentpregnancyrateoftreat1groupweresignificantlyhigherthantreat2group.(2)Inpatientswithseverepelvicadhesiontherewasnosignificantdifferenceinpregnancyr
7、ate,abortionrateandthecorrectionpregnancyratebetweenthetwogroups.(3)Topatientswithmildpelvicadhesion,thepostoperativepregnancyratewassignificantlyhigherthanthosewithmoderateandsevereadhesion.(4)Theposttreatmentoperativepregnancyrateofpatientsbeinginfertil
8、efor≤2yearswassignificantlyhigherthanthatofpatientsbeinginfertileformorethan3years.Conclusion:TopatientswithmildandmoderatepelvicadhesionthevalidityofChineseherbsandlaparoscopytreatmentwasmuchbetterthenonlylaparosco
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