ObjectiveThe purpose of this study is based on the analysis of oviduct infertility xanadu laparoscopic tubal patency, postoperative patients randomly divided into Chinese and western medicine treatment group and control group, western medicine by comparing the two groups of patients after half a year of tubal patency rate and intrauterine pregnancy rate, oviduct infertility palace for the long-term efficacy of laparoscopic surgery treatment of traditional Chinese medicine and gives the part of the clinical evidence for clinical pathway.MethodsStudy of kidney and blood stasis type of oviduct infertility in laparoscopy or palace laparoscopy combined probe postoperative patients, in cases of80cases collected intraoperative pelvic adhesion conditions for mild to moderate, fallopian tube high pressure infusion line laparoscopic technique, fallopian tubes, plastic or umbrella end colostomy, or patients under hysteroscopic tubal interventional recanalization, records of tubal patency degree and postoperative patients were randomly divided into Chinese and western medicine treatment group (liquid+traditional Chinese medicine) and western medicine control group (liquid). Chinese and western medicine treatment group patients in the first postoperative day oral kidney invigorate the circulation of traditional Chinese medicine treatment, traditional Chinese medicine were taking three weeks per month, and in postoperative3to7days after the first menstrual clean, in our hospital outpatient oviduct fluid technique, records of tubal patency degree;The western medicine control group of patients treated with the same way, but don’t take medicine treatment. Two groups of patients in tubal liquid (1time, were followed up for6months respectively, recorded during the follow-up of normal pregnancies, miscarriages and ectopic pregnancies, and statistical analysis to compare the clinical curative effect.Results1. Two groups of patients age, previous pregnancies, infertility, pelvic, tubal disease in time, fallopian tube score before treatment, after statistics analysis, there was no significant difference (P>0.05), comparable.2. The treatment results and analysis of the statistical analysis, two groups of patients before symptoms always definite points and there was no significant difference (P>0.05), comparable;Symptoms after treatment the total integral comparison, there are significant differences (P<0.05).3. The two groups after treatment in patients with symptomatic curative effect comparison, the Ridit analysis (P=0.0014<0.05), there is significant difference.Tip:the curative effect of treatment group is better than that of control group, treatment group markedly effective rate is far higher than the control group;From the aspects of clinical curative effect after treatment in both groups, after statistics analysis, there is statistical significance (P<0.05).Tip:the curative effect of treatment group is better than that of control group, treatment group total effective rate is higher than the control group.4. Two groups of laparoscopic surgery in patients with palace pregnancies by chi-square test, there are significant differences (P<0.05);Two groups of patients from the aspects of postoperative pregnancy rate comparison, after statistics analysis, there is significant difference (P<0.05).Tip:the Chinese and western medicine treatment group of pregnancy rate is higher than western medicine control group;Patients with pelvic moderate and mild adhesion adhesion of comparison, from the aspects of postoperative pregnancy rate after statistics analysis, there was no significant difference (P>0.05), comparable;Tubal colostomy patients with postoperative patients with interventional recanalization under hysteroscopy surgery from the aspects of the pregnancy rate after treatment, after statistics analysis, there is significant difference (P<0.05).5. Two groups of patients with preoperative, from the aspects of tubal disease in postoperative comparison, from the aspects of tubal patency degree improvement after statistics analysis, there was no significant difference (P>0.05), comparable. Two groups of patients after treatment the comparison, from the aspects of tubal patency degree to improve the situation by the rank and inspection, statistical analysis, there is significant difference (P<0.05).6. Two groups of patients with the increase of tubal score, the pregnancy rate increased, and intrauterine pregnancy rate also increased, after statistics analysis, there is significant difference (P<0.05).ConclusionFor kidney and blood stasis type of oviduct infertility in laparoscopy or palace laparoscopy combined detection of postoperative patients with kidney invigorate the circulation of Chinese traditional medicine can effectively improve the pelvic blood circulation, promote inflammation absorption and adhesion solutions, to recover the normal anatomy of pelvic cavity, increase the rate of intrauterine pregnancy, ectopic pregnancy rate. |