| Objective:This study with blood stasis type of oviduct infertility patients as the research object,observe the nourishing blood flux pulse soup retention enema for tubal infertility patients palace the curative effect of laparoscopic surgery,to discuss raising blood soup retention enema unclogged arteries intervention effect of palace after laparoscopic surgery,verify its effectiveness,so as to provide reference for clinical treatment of oviduct infertility patients postoperative.Methods:In this study,120 cases of tubal infertility patients who underwent laparoscopic surgery in our hospital from December 2016 to January 2018 were selected and divided into observation group and control group,60 cases in each group.The observation group was treated with yangxuetongmai decoction for retention enema for 3 consecutive courses.No intervention measures were observed in the control group.The patients were followed up to January 2019,and the status of intrauterine pregnancy and ectopic pregnancy of the two groups were collected.The postoperative pregnancy status and the pregnancy status of each time period were compared between the two groups,and the relationship between tubal grading,pelvic adhesion grading and infertility type and pregnancy was analyzed.Results:1.Comparison of pregnancy status within 1 year after surgery: 31 cases of pregnancy within 1 year after surgery in the observation group,the pregnancy rate was 58.5%,and 21 cases of pregnancy in the control group,the pregnancy rate was 38.9%,the difference was statistically significant(P< 0.05).There was 1 case of ectopic pregnancy in the observation group and4 cases in the control group after the operation,and the difference was not statistically significant(P < 0.05).There were 30 cases of intrauterine pregnancy in the observation group and 17 cases in the control group after the operation,and the difference was statistically significant(P < 0.05).2.Comparison of postoperative pregnancy status between 0-6 months and 7-12 months after surgery: there were 22 pregnancies in the observation group within 0-6 months after surgery,and the pregnancy rate was 41.5%.There were 12 cases in the control group,and the pregnancy rate was 22.2%.Statistically,P=0.049,and the difference was statistically significant(P <0.05).The pregnancy rate of the observation group was 25.8%.There were 9cases in the control group,and the pregnancy rate was 21.4%.Statistically,the difference was not statistically significant(P > 0.05).3.Comparison of infertility type and pregnancy status: 45 patients with primary infertility and 62 patients with secondary infertility,16 patients with primary infertility and 36 patients with secondary infertility within 1 year after treatment,the difference was statistically significant(P < 0.05).In the observation group,there were 23 cases of primary infertility and 10 cases of pregnancy(43.5%).There were 29 secondary patients and 22 pregnancies(75.9%),and the difference was statistically significant(P < 0.05).4.Fallopian tube grading and pregnancy status: among 107 patients with fallopian tube grading,20 patients with grade I fallopian tube grading had pregnancy,and the pregnancy rate was 60.6%.Grade II had 28 pregnancies,with a pregnancy rate of 70.0%.Grade III had only 4pregnancies,with a pregnancy rate of 20%.There were 0 cases of grade IV pregnancy,and the difference was statistically significant(P < 0.05).Comparison of tubal grade pregnancy between the two groups: among the tubal grade I patients,15 cases were observed in the observation group,and 10 cases were observed after treatment,with a pregnancy rate of 66.7%.There were 18 cases in the control group and 10 cases after treatment,with a pregnancy rate of 55.5%.Statistical analysis showed that the difference was not statistically significant(P > 0.05).In the stage II of fallopian tube,there were 23 cases in the observation group,19 cases in pregnancy,with a pregnancy rate of 82.6%,and 17 cases in the control group,9 cases in pregnancy,with a pregnancy rate of 52.9%.Statistical analysis showed that the difference was statistically significant(P < 0.05).After statistical analysis of tubal grade III and IV pregnancy status between the two groups,there was no statistically significant difference(P > 0.05).5.Pelvic adhesions grading pregnancies after comparison: in 107 patients with pelvic adhesions grading,39 patients with pelvic adhesion for level 1 pregnancy,the pregnancy rate was 51.3%,pelvic adhesion for 2levels of 26 cases of pregnancy,the pregnancy rate was 57.8%,pelvic adhesion for level 3 in 6 cases,the pregnancy rate was 26.1%,the statistics,the difference was statistically significant(P < 0.05).Comparison of grade pregnancy of pelvic adhesion between the two groups: in grade 1 pelvic adhesion,there were 19 cases in the observation group,11 cases in pregnancy,the pregnancy rate was 57.9%,and 20 cases in the control group,9 cases in pregnancy,the pregnancy rate was 45%.Statistically,the difference was statistically significant(P < 0.05).In grade 2pelvic adhesion,there were 24 cases in the observation group,18 cases in pregnancy,75% of pregnancy rate,and 21 cases in the control group,8cases in pregnancy,38.1% of pregnancy rate.Statistically,the difference was statistically significant(P < 0.05).In grade 3 pelvic adhesion,therewere 10 cases in the observation group,2 cases in pregnancy,and the pregnancy rate was 20%,13 cases in the control group,and 4 cases in pregnancy,and the pregnancy rate was 30.8%.Statistically,the difference was not statistically significant(P > 0.05).Conclutions:In this study,hysteroscopy combined with yangxuetongmai decoction was used to treat tubal infertility patients with postoperative retention enema,which improved the postoperative pregnancy rate,showed definite efficacy and safety,and could be widely used in clinical practice. |
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