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目的 :探讨输卵管积水后的保守治疗效果。方法 :选取 2 0 0 3年 1月— 2 0 0 4年 5月在不孕不育门诊 (北京大学深圳医院 )就诊的确诊为输卵管积水的患者 ,共 4 9例。患者大部分因为个体原因要求保守治疗。随机分为单纯静点抗生素 +口服中草药的A组和B超引导下经阴道穿刺抽吸积水后再预防性给予静点抗生素 +口服中草药的B组。比较两组患者输卵管积水吸收的痊愈率、相同的观察期内的复发率、治疗后的受孕率。结果 :两组患者中给予穿刺的B组积水吸收虽然较快 ,痊愈率也较高 ,但术后相同时间内的复发率与另一组比较时 ,差别无显著性。结论 :输卵管积水是导致女性不孕的常见原因 ,经阴道超声引导下穿刺抽吸法痛苦小 ,见效快 ,但这种方法却有一定的复发率 ,术后受孕率也不是很高。可适用于无生育要求的单纯性输卵管积水患者和不愿手术治疗的输卵管积水性不孕患者体外授精 -胚胎移植前的治疗
Objective: To investigate the conservative treatment effect of hydrosalpinx. Methods: From January 2003 to February 2004 in infertility clinic (Peking University Shenzhen Hospital) diagnosed as tubal hydrops, a total of 49 cases. Most patients require conservative treatment for their own reasons. Randomly divided into simple static point antibiotic + oral Chinese herbal medicine group A and B-guided transvaginal puncture aspiration water and then intravenous antibiotics + oral herbs B group. The recovery rate of hydrosalpinx in two groups were compared, the recurrence rate in the same observation period and the pregnancy rate after treatment. Results: Although the water absorption of group B, which was punctured in both groups, was faster and the recovery rate was higher, the recurrence rate at the same time after operation was not significantly different from that in the other group. Conclusions: Hydrosalpinx is the common cause of infertility in women. Transabdominal ultrasound-guided aspiration is less painful and quick, but this method has a certain recurrence rate and postoperative conception rate is not very high. Can be applied to patients with simple tubal hydrops without fertility requirements and patients with hydronephrosis who do not want surgery Survival - Preimplantation treatment