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目的:探讨宫腔镜插管通液术配合中药治疗输卵管阻塞性不孕的临床疗效。方法:回顾性分析2007年10月—2010年4月收治的输卵管阻塞性不孕患者181例,行宫腔镜插管疏通通液术配合中药口服治疗,共观察3个疗程。结果:181例患者输卵管复通成功率80.2%;随诊3～6个自然周期或药物促排卵周期,宫内妊娠率达25.4%。结论:宫腔镜插管通液结合中药可提高输卵管阻塞性不孕的治愈率,无损伤,远期疗效及病人依从性好,值得推广应用。
Objective: To investigate the clinical effect of hysteroscopic catheterization combined with traditional Chinese medicine in the treatment of tubal obstruction infertility. Methods: A retrospective analysis of 181 patients with tubal obstructive infertility who were treated from October 2007 to April 2010 was performed. Hysteroscopic intubation was used to clear the fluid and oral medicine was given to the patients. Three courses of treatment were observed. Results: The success rate of tubal recanalization in 181 patients was 80.2%. Followed up for 3 to 6 natural cycles or drug ovulation cycles, the intrauterine pregnancy rate reached 25.4%. Conclusion: Hysteroscopic catheterization combined with traditional Chinese medicine can improve the cure rate of tubal obstruction infertility, without injury, long-term efficacy and patient compliance, it is worth to promote the application.