Study On The Relationship Between Tubal Patency And Morphology Of Patients With Tubal Obstruction Infertility

This paper is divided into two parts:literature review and clinical experiment.literature review mainly elaborated the modern medicine and traditional Chinese medicine on fallopian tube cognition, the means of diagnosis and treatment and their respective advantages and disadvantages of the etiology and pathogenesis of infertility due to occlusion, modern medicine will tubal obstruction infertility mainly cause blame to the pelvic infection disease, endometriosis and tubal factor etc.. Diagnosis and treatment mainly rely on fallopian tube inspection and dredging operation, surgical therapy and human assisted reproductive technology, methods of diagnosis and treatment of diverse, wider indications, but at the same time, there exist some limitations and risks; the motherland medical records although not included in the obstruction of fallopian tube pregnancy sickness name, but its clinical symptoms are scattered to the motherland medicine records, TCM believes that "stasis" is the core of the disease, treatment and more on promoting blood circulation to remove blood stasis. The method can be divided into therapy, external treatment, the curative effect is good. In recent years, with the advantages of integrated traditional Chinese and Western medicine treatment method is more and more widely application and development.The main part of the clinical experiment is to explore what factors affect the patency of the fallopian tubes and morphology.Where the marriage is not contraception, have normal sex life, living together for 1 years and no pregnancy can be diagnosed as infertility. The purpose of the study is using statistical methods to explore if there exists certain relations of tubal patency and morphology of whether and socio demographic data, menstrual obstetrical history, history of operation between tubal obstruction infertility patients with normal persons. These factors constitute effect in patients with fallopian tube through smooth degree of factors, try to provide better prevention and diagnostic measures for tubal obstruction infertility.According to the fallopian tube obstruction infertility diagnostic criteria, selected 100 cases from the China-Japan Friendship Hospital. Then using the x2 test and descriptive analysis of the fallopian tube patency and the shape compared the fallopian tube in different condition and the basic conditions of the patient. Use logistic regression analysis for each grade of fallopian tube patency and morphology compared and analyzed, try to find out what factors are related.The main results are as follows:(1)Menstrual period than the normal menstrual cycle in patients with the probability of bilateral tubal barrier is 4.770 times less than the probability of bilateral(p<0.05),menstrual period than the normal menstrual cycle in patients with normal fallopian tube side of the side of the barrier is not smooth and the probability is bilateral and poor 3.957 times (P<0.05); (2) Dysmenorrhea patients compared with the normal, the probability of bilateral fallopian tubes is not the probability of bilateral and poor 4.419 times(P<0.05); (3) older patients are more likely to have fallopian tube (P<0.05) and the corresponding ratio of OR is 1.188, the corresponding variables as risk factors; (4) no statistical results show that the more flow tube patency of patients showed worse results in oviduct. The conclusion of this paper is that there is a certain correlation between the symptoms of menstruation and the decrease of the degree of tubal patency, and the age may be related to the changes in the morphology of the fallopian tubes.