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目的探讨腹腔镜手术结合中药灌肠治疗输卵管积水的术后并发症及疗效。方法选取本院2014年5月—2016年5月收治的输卵管积水患者80例,依据随机数字表法分为腹腔镜手术结合中药灌肠组(A组,n=40)和腹腔镜手术治疗组(B组,n=40),对两组患者的中医症候积分和慢性盆腔积分、临床疗效、并发症发生情况进行统计分析。计量资料比较采用t检验,计数资料比较采用χ~2检验,P<0.05为差异有统计学意义。结果治疗后两组患者中医症候积分、慢性盆腔积分[(4.3±1.3)、(7.0±1.4)分与(4.5±1.5)、(6.1±1.6)分]比较,差异均有统计学意义(均P<0.05)。与治疗前比较,治疗后两组患者的医症候积分、慢性盆腔积分均显著降低,差异均有统计学意义(均P<0.05)。A组患者治疗的总有效率为95.0%(38/40),显著高于B组的75.0%(30/40),差异有统计学意义(P<0.05)。A组患者的并发症发生率为5.0%(2/40),显著低于B组的20.0%(8/40),差异有统计学意义(P<0.05)。结论腹腔镜手术结合中药灌肠治疗输卵管积水较单独中药灌肠治疗具有较少的并发症,疗效更为显著,值得在临床推广。
Objective To investigate the postoperative complications and efficacy of laparoscopic surgery combined with traditional Chinese medicine enema in the treatment of tubal hydrops. Methods Eighty patients with hydrosalpinx who were treated in our hospital from May 2014 to May 2016 were divided into two groups: laparoscopic surgery combined with traditional Chinese medicine enema (group A, n = 40) and laparoscopic surgery group (Group B, n = 40). The TCM symptom score, chronic pelvic score, clinical curative effect and complication of the two groups were statistically analyzed. Measurement data were compared using t test, count data were compared using χ ~ 2 test, P <0.05 for the difference was statistically significant. Results After treatment, the difference of TCM symptom scores, chronic pelvic score [(4.3 ± 1.3), (7.0 ± 1.4) points vs (4.5 ± 1.5), (6.1 ± 1.6) points) were statistically significant P <0.05). Compared with those before treatment, the medical symptom scores and chronic pelvic scores of the two groups were significantly decreased after treatment, the differences were statistically significant (both P <0.05). The total effective rate of treatment in group A was 95.0% (38/40), which was significantly higher than that in group B (75.0%, 30/40). The difference was statistically significant (P <0.05). The incidence of complications in group A was 5.0% (2/40), which was significantly lower than that in group B (20.0%, 8/40). The difference was statistically significant (P <0.05). Conclusions Laparoscopic surgery combined with traditional Chinese medicine enema treatment of hydrosalpinx has less complications than single Chinese medicine enema treatment, the effect is more significant, it is worth in the clinical promotion.