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目的:观察妇炎康复胶囊联合输卵管疏通术治疗输卵管阻塞性不孕症的疗效。方法:选取接受输卵管疏通治疗的58例不孕症患者,随机分为治疗组和对照组各29例,治疗组采用宫腹腔镜手术配合妇炎康复胶囊联合治疗;对照组行宫腹腔镜手术治疗。随访1年,记录妊娠和不良反应情况。结果:治疗组38条阻塞管中有30条获得再通,再通率为78.9%;对照组39条阻塞管中有25条获得再通,再通率为64.1%。两组治疗前后输卵管疏通率比较,差异有统计学意义(P<0.05)。两组解脲支原体感染阳性患者在治疗后均有所减少,且治疗组转阴率显著高于对照组。术后随访6个月,治疗组受孕率为62.0%,对照组受孕率为37.9%,两组治疗后6个月的受孕率比较,差异有统计学意义(P<0.05)。结论:在宫腹腔镜手术后使用妇炎康复胶囊辅助治疗可提高受孕率,有利于减少术后炎症或感染,降低不良反应发生率,防止术后输卵管粘连的再发生。
Objective: To observe the curative effect of Fu Yan Kang Fu Capsule combined with tubal dredging in the treatment of tubal obstruction infertility. Methods: Fifty-eight infertile patients who underwent tubal dredging were randomly divided into treatment group (n = 29) and control group (n = 29). The patients in the treatment group were treated with hysteroscope combined with Fu Yan Kang Capsule. The control group was treated by laparoscopy. Follow up for 1 year, record pregnancy and adverse reactions. RESULTS: Thirty of 38 obstructive tubes in the treatment group were recanalized and the recanalization rate was 78.9%. In control group, 25 of 39 obstructive tubes were recanalized and the recanalization rate was 64.1%. Before and after treatment tubal dredging rate, the difference was statistically significant (P <0.05). The two groups of patients with positive Ureaplasma urealyticum infection were reduced after treatment, and the treatment group, the negative rate was significantly higher than the control group. After 6 months of follow-up, the pregnancy rate was 62.0% in the treatment group and 37.9% in the control group. There was significant difference in the pregnancy rate between the two groups after 6 months of treatment (P <0.05). CONCLUSION: Fufang Kangfu Capsule after laparoscopic hysteroscopic surgery can increase the rate of conception, reduce the postoperative inflammation or infection, reduce the incidence of adverse reactions and prevent the recurrence of tubal adhesions.