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目的:观察中药汤剂口服、灌肠配合输卵管通液术治疗输卵管堵塞的临床疗效。方法:将128例输卵管堵塞患者依据临床治疗方案分为中西医结合组(A组,n=70)和西医组(B组,n=58)2组。B组仅给予输卵管通液术治疗,A组同时给予中药汤剂与灌肠治疗。比较2组患者临床疗效,随访2年,记录妊娠情况。结果:治疗后,A组输卵管通畅率高于B组(P<0.05)。经随访,2组患者均无失访,其中A组随访1年、2年宫内成功妊娠率均高于B组(P<0.05)。治疗后,A组总有效率为85.71%,B组为65.52%,2组比较,差异有统计学意义(P<0.05)。2组不良反应发生率比较,差异有统计学意义(P<0.05)。结论:对输卵管堵塞的不孕患者予以输卵管通液术联合口服中药及中药灌肠方案,疗效确切,值得推广。
Objective: To observe the clinical efficacy of oral decoction of traditional Chinese medicine and enema with tubal fluid in the treatment of tubal blockage. Methods: 128 cases of tubal blockage were divided into two groups according to the clinical treatment: Integrative Medicine Group A (n = 70) and Western Medicine Group B (n = 58). B group only given tubal fluid treatment, A group also given Chinese medicine decoction and enema treatment. The clinical effects of two groups were compared and followed up for 2 years to record the pregnancy status. Results: After treatment, tubal patency in group A was higher than that in group B (P <0.05). After follow-up, there was no loss of follow-up in both groups. The success rate of intrauterine pregnancy in group A was higher than that in group B (P <0.05). After treatment, the total effective rate was 85.71% in group A and 65.52% in group B, the difference was statistically significant (P <0.05). The incidence of adverse reactions in the two groups, the difference was statistically significant (P <0.05). Conclusion: Tubal occlusion of infertility patients with tubal fluid combined oral administration of traditional Chinese medicine and enema enema program, the exact effect, it is worth promoting.