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目的:探讨输卵管阻塞性不孕的临床特点,分析腹腔镜术后联合腹针治疗对提高妊娠率及促进恢复的意义。方法:采取前瞻性随机数字法的方案,将确诊接受治疗的输卵管阻塞性不孕的82例患者依照随机法分为A组(40例,单纯手术治疗)和B组(42例,术后联合腹针治疗),总结术后1年妊娠情况以及畅通情况。结果:两组妊娠率以及宫内妊娠率比较,差异有统计学意义(P<0.05),A组的异位妊娠率为7.50%,B组的异位妊娠率为2.38%,两组比较,差异无统计学意义(P>0.05),两组的半年内以及半年后妊娠率比较,差异无统计学意义(P>0.05)。研究中,共妊娠42例,半年内妊娠32例(76.19%),半年后妊娠10例(23.81%),半年内以及半年后妊娠率比较,差异有统计学意义(P<0.05),两组总有效率比较,差异有统计学意义(P<0.05)。结论:在术后联合腹针治疗输卵管阻塞性不孕患者,对提高妊娠率及促进输卵管畅通与恢复有较好的效果,安全无副作用,值得各医院借鉴推广。
Objective: To investigate the clinical features of tubal obstructive infertility and analyze the significance of laparoscopic combined abdominal acupuncture to improve pregnancy rate and promote recovery. Methods: According to the prospective random number method, 82 patients diagnosed as obstructive tubal obstruction who were treated were randomly divided into group A (40 cases, simple operation) and group B (42 cases, postoperative combined Abdominal acupuncture treatment), 1 year after the conclusion of pregnancy and smooth condition. Results: The pregnancy rates and intrauterine pregnancy rates in two groups were significantly different (P <0.05), the ectopic pregnancy rate in group A was 7.50%, and the ectopic pregnancy rate in group B was 2.38% The difference was not statistically significant (P> 0.05). There was no significant difference in the pregnancy rates between the two groups within six months and six months (P> 0.05). In the study, there were 42 cases of total pregnancy, 32 cases (76.19%) in six months, 10 cases (23.81%) in six months after pregnancy, and there was significant difference in pregnancy rate within six months and six months (P <0.05) The total effective rate, the difference was statistically significant (P <0.05). Conclusions: The combined treatment of tubal obstruction infertility patients with postoperative abdominal obstruction, to improve the pregnancy rate and promote tubal smooth and recovery have a good effect, safety and no side effects, it is worth drawing on the promotion of the hospital.