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目的:通过实时声诺维(SonoVue)子宫输卵管超声造影检查,监测评价输卵管阻塞性不孕患者采用桃红四物汤加减治疗的临床效果。方法:选取经腹腔镜确诊的输卵管阻塞性不孕患者共82例,随机分为2组,治疗组40例采用桃红四物汤加减治疗;对照组42例采用西医常规治疗,采用SonoVue超声造影法判断患者接受治疗后输卵管再通率、临床疗效、妊娠发生率。结果:治疗后治疗组输卵管通畅率为63.3%,对照组为29.9%,2组比较,差异有显著性意义(P<0.05)。总有效率治疗组为90.5%,对照组为60.0%,2组比较,差异有显著性意义(P<0.05)。随访6月,治疗组妊娠率58.1%,对照组为39.1%,2组比较,差异有显著性意义(P<0.05)。结论:桃红四物汤加减配合西药治疗输卵管阻塞性不孕患者具有较高的输卵管再通率和妊娠率;实时SonoVue子宫输卵管超声造影是一种安全有效的监测方法。
Objective: To evaluate the clinical effect of Taohong Siwu Decoction by subtraction and subtraction of sonoVue hysterosalpingography in monitoring tubal obstructive infertility. Methods: A total of 82 patients with tubal obstructive infertility confirmed by laparoscopy were randomly divided into two groups. Forty cases in the treatment group were treated with Taohong Siwu Decoction. Forty-two in the control group were treated by western medicine, SonoVue ultrasonography To determine the patient after treatment tubal recanalization rate, clinical efficacy, the incidence of pregnancy. Results: After treatment, the tubal patency rate was 63.3% in the treatment group and 29.9% in the control group. There was significant difference between the two groups (P <0.05). The total effective rate was 90.5% in the treatment group and 60.0% in the control group. There was significant difference between the two groups (P <0.05). Follow-up in June, the treatment group pregnancy rate was 58.1%, 39.1% in the control group, the two groups, the difference was significant (P <0.05). Conclusion: Taohongsiwu Decoction combined with western medicine treatment of tubal obstruction infertility patients with high tubal recanalization rate and pregnancy rate; real-time SonoVue hysterosalpingography is a safe and effective monitoring method.