The Clinical Observation Of Comprehensive Therapy Of Traditional Chinese Medicine In Combination With Palace Laparoscopic Surgery For The Treatment Of Oviduct Infertility

ObjectiveThis topic by retrospective research of TCM comprehensive therapy in combination with the palace of the laparoscopic surgery in treatment of tubal infertility patients,observe pregnancies in patients after treatment,so as to explore Chinese medicine comprehensive treatment of oviduct infertility palace the clinical curative effect of laparoscopic surgery.Methods1.Retrospective analysis in January 2011-December 2013 in our hospital diagnosed as xanadu laparoscopic surgery of oviduct infertility patients,are menstrual clean 3 to 7 days,palace laparoscopic surgery under general anesthesia,completely conforms to the inclusion criteria,351 patients entered the study,according to the postoperative patients with presence of combined treatment of traditional Chinese medicine,divided into surgical and combined treatment of traditional Chinese medicine group(group A)and simple surgical group(group B).2.Which group A of hospital for A week,to the hospital outpatient service of department of gynaecology adopt comprehensive therapy of traditional Chinese medicine.The internal party to make up for qi and t2dm to add and subtract method of syndrome differentiation,the main are dangshen,five fingers wild peach,yellow,sweet,cowherb seed,salvia miltiorrhiza,caul is spatholobi,radix paeoniae rubra,cassia twig,etc.,according to the menstrual cycle and subtract,not more than three,even served at least three months.External use with double asphalt paste partial external abdomen,at the same time to the compound pubescent Holly root irrigation intestinal fluid retention enema.The treatment were discontinued after menstruation and ovulation.If the pregnancy is converted to fetus treatment,if not pregnant,continues to the former method,at least three cycles.Group B after treatment.3.The two groups were followed up to 12 months postoperatively,record two groups of pregnancies and pregnancy.Results1.Group A pregnancy rate of 60.8%47.4%,ectopic pregnancy,intrauterine pregnancy rate 12.8%12.8%,pregnancy location is unknown,the pregnancy is apart from the median operation time for April,abortion rate was 1.1%;2.Group B pregnancy rate 45.0%,intrauterine pregnancy rate 27.8%,ectopic pregnancy rate 17.2%,pregnancy is apart from the median operation time for June,abortion rate was 1.7%;3.The pregnancy rate,ectopic pregnancy,the time of pregnancy apart from the operating time between group A and group B comparison difference was statistically significant(P<0.05),there was no statistically significant difference abortion rate(P>0.05);4.185 pat ions in 351 have been pregnant during 12 months,the pregnancy time distribution(from surgery in):1-3 month:74(40.0%),4-June:48(25.9%),7-9 months:34(18.4%),10-12 month:29(15.7%);5.Boc interventional recanalization of 162 cases,99 cases(61.1%),pregnancy after tubal patency on both sides the pregnancy for 76 cases(60.3%)(bilateral oviduct tubes of interventional recanalization cases),unilateral tubal patency pregnancy 22 cases(64.7%)(interventional recanalization unilateral tubal patency cases),postoperative bilateral are not clear(2 cases)in pregnancy,1 case(50%);6.Boc interventional recanalization of 162 cases,99 cases(61.1%),pregnancy after tubal patency on both sides the pregnancy for 76 cases(60.3%)(bilateral oviduct tubes of interventional recanalization cases),unilateral tubal patency pregnancy 22 cases(64.7%)(interventional recanalization unilateral tubal patency cases),postoperative bilateral are not clear(2 cases)in pregnancy,1 case(50%);7.All cases according to the degree of intraoperative pelvic adhesions,mild,moderate and severe group,postoperative pregnancy rate of 65.9%,63.8%,52.6%and 40.5%respectively;8.Total postoperative tubal dredge at a rate of 91.5%,interventional recanalization performer dredge rate was 84.7%,the colostomy performer dredging at a rate of 97.5%;9.Intraoperative diagnosis oviduct tubes with preoperative imaging attendance rate was 68.0%.Conclusions1.The integrated therapy of traditional Chinese medicine can improve the palace of oviduct infertility patients laparoscopic postoperative pregnancy rate,intrauterine pregnancy rate,decrease the rate of ectopic pregnancy,shortening time of postoperative pregnancy;2.The palace joint surgery,laparoscopic tubal colostomy surgery,interventional recanalization effective;3.With pelvic adhesion degree aggravating,postoperative pregnancy rate is on the decline.