1. 上海中医药大学附属曙光医院妇产科,上海,200021
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张琼, 周一辰, 孔珏莹. 补肾活血通络方联合宫腹腔镜通液术治疗血瘀型输卵管性不孕的临床观察[J]. 上海中医药杂志, 2016,50(6):64-66.
ZHANG Qiong, ZHOU Yi-chen, KONG Jue-ying. Clinical observation of “Bushen Huoxue Tongluo Decoction” with hysteroscopic-laparoscopic hydrotubation in treating tubal infertility of blood stasis[J]. Shanghai Journal of Traditional Chinese Medicine, 2016,50(6):64-66.
张琼, 周一辰, 孔珏莹. 补肾活血通络方联合宫腹腔镜通液术治疗血瘀型输卵管性不孕的临床观察[J]. 上海中医药杂志, 2016,50(6):64-66. DOI:
ZHANG Qiong, ZHOU Yi-chen, KONG Jue-ying. Clinical observation of “Bushen Huoxue Tongluo Decoction” with hysteroscopic-laparoscopic hydrotubation in treating tubal infertility of blood stasis[J]. Shanghai Journal of Traditional Chinese Medicine, 2016,50(6):64-66. DOI:
目的:观察补肾活血通络方联合宫腹腔镜下通液术治疗血瘀型输卵管性不孕的临床疗效。 方法:将75例血瘀型输卵管性不孕患者随机分为治疗组(50例)与对照组(25例)。对照组予宫腹腔镜下输卵管通液术,治疗组在通液术基础上加用补肾活血通络方。治疗组疗程为6个月(不包括治疗期间妊娠者),随访6个月;对照组术后随访观察1年。观察比较输卵管通畅程度、中医证候积分及妊娠率。 结果:①治疗前后组内比较,两组输卵管通畅程度差异有统计学意义(P<0.05);组间治疗后比较,治疗组输卵管通畅程度更高于对照组(P<0.05)。②组间治疗后比较,治疗组中医证候积分下降程度比对照组更显著(P<0.05)。③治疗组、对照组妊娠率分别为48.00%、20.00%,两组妊娠率比较差异有统计学意义(P<0.05)。 结论:补肾活血通络方联合宫腹腔镜下输卵管通液术治疗血瘀型输卵管性不孕,可显著提高妊娠率。
Objective:To observe the clinical efficacy of “Bushen Huoxue Tongluo Decoction” with hysteroscopic-laparoscopic hydrotubation in the treatment of tubal infertility of blood stasis. MethodsSeventy subjects were randomized into treatment group(50 cases) and control group(25 cases). Hysteroscopic-laparoscopic hydrotubation was given to the control group while “Bushen Huoxue Tongluo Decoction” was added to the treatment group after the hydrotubation surgery. The treatment period was 6 months, with 6-month follow-up in the treatment group(not including the pregnant patients), and the control group was surveyed for one year. The fallopian tube patency, TCM syndrome score and pregnancy rate were observed. Results:①The difference of fallopian tube patency between before and after treatment in both groups was statistically significant(P<0.05); the fallopian tube patency of treatment group was better in the treatment group than in the control group(P<0.05). ②The decrease of TCM syndrome score was more significant in the treatment group than in the control group after treatment(P<0.05).③The pregnancy rate was 48.00% in the treatment group and 20.00% in control group, with a difference between them(P<0.05). Conclusion: “Bushen Huoxue Tongluo Decoction” with hysteroscopic-laparoscopic hydrotubation is quite effective for tubal infertility of blood stasis in increasing pregnancy rate.
输卵管阻塞不孕宫腹腔镜手术补肾活血通络方中西医结合
tubal obstructionfemale infertilityhysteroscopy-laparoscopy“Bushen Huoxue Tongluo Decoction”integrative Chinese & western medicine
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