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目的探讨腹腔镜结合电针治疗输卵管远端阻塞性不孕症的疗效。方法选取144例输卵管远端阻塞性不孕症患者随机分为对照组和治疗组,对照组给予腹腔镜下松解粘连,恢复解剖结构,并进行伞端造口或伞端成形术;治疗组在对照组治疗基础上结合电针治疗。结果术后2年内,对照组总妊娠率为32.87%,治疗组总妊娠率为50.70%,两组比较差异有统计学意义(P<0.05)。对照组总通畅率为44.89%,治疗组总通畅率为62.14%,两组比较差异有统计学意义(P<0.05)。结论腹腔镜结合电针治疗输卵管远端阻塞性不孕症可以有效解决腹腔镜术后输卵管周围粘连和本身病变问题,从而提高患者妊娠率和输卵管通畅率。
Objective To investigate the efficacy of laparoscopic combined with electroacupuncture in the treatment of distal tubal obstruction infertility. Methods A total of 144 patients with obstructive infertility due to fallopian tube were randomly divided into control group and treatment group. The control group was given laparoscopic lymphadenectomy to restore anatomy, Control group based on the combination of electroacupuncture treatment. Results In the 2 years after operation, the total pregnancy rate was 32.87% in the control group and 50.70% in the treatment group. The difference between the two groups was statistically significant (P <0.05). The total patency rate was 44.89% in the control group and 62.14% in the treatment group, with significant difference between the two groups (P <0.05). Conclusion Laparoscopy combined with electroacupuncture treatment of distal tubal obstruction infertility can effectively solve the problem of adhesions around the fallopian tube after tubal surgery and its own disease, thereby improving the pregnancy rate and tubal patency rate.