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目的:探讨宫、腹腔镜术后配合中药综合治疗SOI的临床疗效。方法:将明确诊断为SOI的患者90例分为治疗组和对照组,两组均用宫、腹腔镜联合术,治疗组术后加用中药口服,配合妇炎康胶囊口服和中药灌肠,而对照组则术后未使用任何中药,术后统计其输卵管再通情况、妊娠情况。结果:治疗组术后输卵管通畅35例,再通率达77.78%,对照组术后输卵管通畅21例,再通率46.67%,有显著性差异(P<0.01);治疗组术后半年正常宫内妊娠、异位妊娠及不孕患者分别占71.11%、6.67%、22.22%;对照组正常宫内妊娠、异位妊娠及不孕患者分别占44.44%、15.55%、40.00%,差异有统计学意义(P<0.05)。结论:宫、腹腔镜术后配合中药综合治疗是治疗SOI的有效手段,可显著提高有效率,值得临床推广。
Objective: To investigate the clinical efficacy of Gong and laparoscopic combined with traditional Chinese medicine in the treatment of SOI. Methods: Ninety patients with definite diagnosis of SOI were divided into treatment group and control group. Both groups were treated by Gong and laparoscopy combined with oral administration of traditional Chinese medicine and oral administration of Fuyankang capsule and Chinese medicine enema. The control group did not use any traditional Chinese medicine after surgery, postoperative tubal recanalization, pregnancy. Results: The tubal patency in the treatment group was 35 cases and the recanalization rate was 77.78%. The control group had 21 cases of tubal patency and the recanalization rate was 46.67% (P <0.01) The percentage of endometriosis, ectopic pregnancy and infertility accounted for 71.11%, 6.67% and 22.22% respectively. The control group had 44.44%, 15.55% and 40.00% respectively of normal intrauterine pregnancy, ectopic pregnancy and infertility, the difference was statistically significant Significance (P <0.05). Conclusion: Gong and laparoscopic combined with traditional Chinese medicine is an effective treatment for SOI, which can significantly improve the efficiency and worthy of clinical promotion.