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目的探讨羧氨基葡聚多糖钠生物胶体液在输卵管妊娠行腹腔镜输卵管手术妇女术后不同时间内进行子宫输卵管通液治疗的临床疗效。方法选取本院2012年至2014年间因输卵管妊娠行腹腔镜输卵管手术后有生育要求妇女149例,将行腹腔镜输卵管手术未满6个月的87例妇女设为观察组,将输卵管手术满1年以上但以后未做任何检查及治疗的62例妇女设为对照组。两组每月使用羧氨基葡聚多糖钠生物胶体液进行输卵管通液术一次,连续3次。观察比较两组输卵管通畅情况和1年内妊娠情况。结果输卵管通液术前两组输卵管通畅情况无显著差异(P>0.05)。通液术治疗3个月后,观察组通畅占71%、通而不畅29%、阻塞0;对照组通畅占5%、通而不畅53%、阻塞42%,观察组通液术有明显的疏通效果,两组输卵管通畅情况有非常显著差异(P<0.001)。观察组1年内有40例妊娠(46%),对照组妊娠18例(29%),两组有显著差异(P<0.05)。两组不良反应症状均较轻,不良反应发生率无显著差异(P>0.05)。结论输卵管妊娠行腹腔镜输卵管术后尽早进行羧氨基葡聚多糖钠生物胶体液宫腔输卵管疏通,有利于提高输卵管疏通率和妊娠率。
Objective To investigate the clinical effect of sodium carboxymethyl glucosaminoglycans colloidal fluid in women with tubal pregnancy undergoing tubal ovulation surgery at different times after operation. Methods A total of 149 women with reproductive requirements after tubal surgery for tubal pregnancy were selected from 2012 to 2014 in our hospital. Eighty-seven women undergoing laparoscopic tubal surgery less than 6 months were selected as observation group, Sixty-two women who did not undergo any examination and treatment after the previous year were assigned as control group. Two groups each month using carboxymethyl glucosaminoglycans sodium colloid fluid tubal fluid once, three times in a row. Observation and comparison of two groups of tubal patency and pregnancy within 1 year. Results tubal patency of the two groups before tubal patency was no significant difference (P> 0.05). After 3 months of treatment, the patients in the observation group were 71% unobstructed, unobstructed by 29% and obstructed by 0; the control group had 5% unobstructed, 53% unobluseness and 42% Significantly clear the effect of tubal patency of the two groups have a very significant difference (P <0.001). Forty pregnancies (46%) in the observation group within one year and 18 cases (29%) in the control group were significantly different between the two groups (P <0.05). Two groups of adverse reactions were mild symptoms, the incidence of adverse reactions no significant difference (P> 0.05). Conclusion tubal pregnancy tubal tubal surgery as soon as possible after laparoscopic tubal decollarization of sodium carboxylesterase polysaccharide solution is conducive to improving tubal dredging rate and pregnancy rate.