| ObjectiveIn our hospital from January 2007 to June 2009 admitted 123 cases of tubal infertility were prospectively studied by observing laparoscopic tubal infertility after reperfusion therapy and simple western medicine integrated clinical efficacy and safety of treatmentanalysis, analysis of the two tubal patency after 6 months and re-blocking rate, then the recurrence rate of adhesion, and to track patients after one year of pregnancy, miscarriage rate and ectopic pregnancy rate; simultaneous analysis of the two groups of tubal infertility Syndrome patients and the distribution of clinical symptoms, local signs, quality of life score analysis to explore the therapeutic approach to develop a set of reasonable and easy extension of laparoscopic tubal infertility after recanalization of integrated traditional Chinese medicine treatment programs optimized for the tubal infertility develop clinical pathways to provide objective scientific evidence, to look to promote the formation of norms in the industry to improve the clinical efficacy of tubal infertility.MethodA randomized control study to 123 cases of tubal infertility patients studied,60 cases were divided into treatment group and control group 63 cases. 1. Recanalization in the laparoscopic patients were to be 6 months after surgery were combined treatment of Chinese medicine and western medicine. Treatment groups:treatment divided into internal and external treatment therapies.The treatment-oral medicine dialectic to:(1) qi stagnation card:Modified Danzhi Xiaoyaosan; (2) heat stasis:only with the party, detoxify blood Decoction; (3), kidney and blood stasis Certificate:General management Tiaojing side addition and subtraction. External-(1) Compound Maodongqing enema retention enema,1 day, can be continuously applied to the basal body temperature increased by 7 days; 2) consecutive menstrual clean water deposited by four yellow honey to the basal body temperature increased by 7 days; (3) the uterine cavity on the drug:after the first period from the start, choose a clean 3 to 7 days of menstrual uterine line medicine (Salvia injection 10ml+saline 10ml),1 time per cycle, vaginal bleeding, a clean 3 days to the same room, told his For pregnant patients, after 6 months if the treatment has not yet pregnant, then again oviduct angiography.2, control group:patients without oral medication, after the first period from the start, choose a clean 3 to 7 days of the menstrual line Hydrotubation (drugs:dexamethasone 5mg gentamicin 80,000 chymotrypsin 4000u+U+(?) Saline 20ml),1 time per cycle. While seeking pregnancy, if after 6 months of treatment were not pregnant, then again oviduct angiography.6-month period documented the results and adverse reactions with water, if the pregnancy records of the last menstrual period and pregnancy outcomes were followed up.2 All patients were followed up one year after the pregnancy situation.Result1. the treatment group included 60 patients in the control group included 63 patients,3 cases were dropped out, both the control group (1 case of lung abscess due after 1 month because of thoracic surgery after failure to pass fluid line treatment Surgery and other treatment,2 cases of the follow-up telephone number is empty, could not be contacted.) Actual observation of 120 cases were observed for one year.2.(1) 123 patients with TCM analysis, in which 94 patients with blood stasis type, accounting for 76.4%,10 cases of damp heat stasis type, accounting for 8.13%, 19 cases of kidney deficiency and blood stasis type, accounting for 15.45%.(2) the degree of tubal patency after treatment, compared to the treatment of the left and right fallopian tube total effective rate were 90%,88.33%, control group, left and right fallopian tube total effective rate were 66.67%, 60%, group differences were Statistically significant (P<0.05); the treatment group after treatment patency rate was 85.83%, higher than the patency rate after treatment 50.83% (P<0.05), adhesion after treatment was 14.17%, lower than the control group Adhesion rate after treatment 49.17% (P<0.05).(3) As of December 2009, the treatment group,26 patients (43.33%) pregnancy, 9 cases of the control group (15.0%) of pregnancy, the statistical analysis, the efficacy of traditional Chinese medicine combined therapy was better than Western medicine treatment (P<0.05); the average gestation time for the two groups, the treatment group was 254.65 days, the control group was 335.33 days, the treatment group than the control group, statistically significant difference between the groups (P<0.05).(4) clinical symptoms score before and after treatment, local signs and quality of life scores within the group differences in scores after treatment and the group differences in scores between the comparison group, were statistically significant (P<0.05), improvement of symptoms in the treatment group, Signs and improve patient quality of life are better than the control group. 3. the two groups did not occur during treatment and treatment-related adverse reactions.Conclusion1. the integrated results of this study shows that laparoscopic tubal infertility treatment after application of integrated traditional Chinese medicine can effectively improve the patients after laparoscopic tubal recanalization rate and reduce the occurrence of postoperative tubal adhesions the chance again, thus improving Laparoscopic tubal pregnancy rate of patients after recanalization.2. integrated TCM therapy can improve clinical symptoms of patients, physical signs, did not occur during treatment and treatment-related adverse events, indicating that integrated TCM therapy is safe and effective, can improve the quality of life of patients.
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