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目的探讨宫、腹腔镜手术联合中药治疗不孕症的体会。方法 158例不孕症患者,随机分为对照组与研究组,每组79例。两组均采用宫、腹腔镜手术治疗,研究组术后加用中药化瘀除湿汤治疗。观察比较两组术后1年妊娠率、输卵管通畅率等情况。结果研究组妊娠率为81.01%(64/79)高于对照组的40.51%(32/79)(P<0.05);研究组异位妊娠率为3.80%(3/79),对照组异位妊娠率为5.06%(4/79),组间差异无统计学意义(P>0.05);研究组输卵管通畅率为83.33%(10/12)高于对照组的30.23%(13/43)(P<0.05)。结论宫、腹腔镜手术联合中药治疗不孕症,可明显提升妊娠率,促进输卵管通畅,值得临床推广应用。
Objective To explore the treatment of infertility by combined laparoscopic surgery and traditional Chinese medicine. Methods 158 cases of infertility patients were randomly divided into control group and study group, 79 cases in each group. Both groups were treated by laparoscopy and hysteroscopy. The study group was treated with Chinese medicine Huayu Decoction. Observation and comparison of the two groups after 1 year pregnancy rate, tubal patency and so on. Results The pregnancy rate was 81.01% (64/79) in study group and 40.51% (32/79) in control group (P <0.05). The ectopic pregnancy rate in study group was 3.80% (3/79) The pregnancy rate was 5.06% (4/79), with no significant difference between the two groups (P> 0.05). The tubal patency rate was 83.33% (10/12) in the study group, which was higher than that in the control group (30.23%, 13/43) P <0.05). Conclusions Gong and laparoscopic surgery combined with traditional Chinese medicine in the treatment of infertility can significantly improve the pregnancy rate and promote tubal patency, which is worthy of clinical application.