医用几丁糖在输卵管梗阻性不孕中的疗效观察

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目的:探讨宫腔镜下输卵管插管通液术后注入医用几丁糖在治疗输卵管梗阻性不孕中的临床效果。方法:120例患者共212条输卵管均由子宫输卵管碘油造影证实输卵管梗阻或通而不畅,随机分为研究组62例(106条),采用宫腔镜下输卵管插管通液术后注入医用几丁糖;对照组58例(106条),行宫腔镜下输卵管通液术。结果:212条输卵管中有156条有所改善,研究组再粘连率7.8%明显低于对照组21.1%,研究组妊娠率为62.2%明显高于对照组36.2%,差异均有统计学意义(P<0.05)。结论:医用几丁糖对宫腔镜下输卵管插管通液术后降低再粘连率及提高妊娠率有明显效果。 Objective: To investigate the clinical effect of hysteroscopic tubal intubation and infusion of medical chitosan in the treatment of tubal obstruction infertility. Methods: A total of 212 cases of 120 patients with tubal tubal iodized oil by hysterosalpingography confirmed tubal obstruction or pass and poor, were randomly divided into study group 62 cases (106), hysteroscopic tubal intubation fluid injection Medical chitosan; control group of 58 patients (106), hysteroscopic tubal fluid. Results: 156 of 212 fallopian tubes were improved. The rate of re-adhesion was 7.8% in study group and 21.1% in control group. The pregnancy rate in study group was 62.2%, which was significantly higher than that in control group (36.2% P <0.05). Conclusion: The effect of medical chitosan on the reduction of re-adhesion rate and pregnancy rate after hysteroscopic tubal intubation is satisfactory.
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