摘要
目的探讨输卵管不通C形臂X光机引导下介入再通术后,经导管医用臭氧缓慢灌注输卵管,以降低再粘连,保持通畅性的可能性。方法 96例双侧输卵管性不孕患者,随机分成二组。观察组52例在介入治疗后向每侧开通后的输卵管注入医用臭氧10ml;对照组44例,介入治疗后向输卵管内注入0.9%氯化钠注射液20ml+地塞米松5mg+糜蛋白酶4 000U+庆大霉素8万U混合液。所有患者6、12个月后复查并对比二组的治疗有效率、妊娠率及再粘连率。结果观察组有效率86.34%,妊娠率47.61%,术后再粘连率14.89%;对照组有效率65.76%,妊娠率27.51%,术后再粘连率35.13%.观察组有效率及妊娠率高于对照组,术后再粘连率低于对照组,差异有统计学意义(P<0.05)。结论医用臭氧在输卵管不通介入治疗后可提高通畅率、妊娠率,并降低再粘连率。
Objective To discuss the possibility of keep fallopian tube flowing guided by C arm X- ray machine with medical ozone slow infusion tubal interventional recanalization, and to reduce adhesions again. Methods Totally 96 patients with bilateral oviduct infertility were randomly divided into two groups. 52 cases in observation group were injected medical ozone 10 ml to opening on each side of the fallopian after intervention treatment, while 44 cases in control group were injected a mixture of 0.9% chloride sodium in- jection 20 ml, dexamethasone 5 mg, chymotrypsin 4000 U and gentamycin 80000 U in the fallopian tube after interventional treatment. The treatment effectiveness, pregnancy rate and adhesion rate again of two groups were compared after 6 months, 12 months. Results In the observation group, the effective rate, pregnancy rate postoperative adhesion rate were 86. 34%, 47. 61%, 14.89% respectively, and they were 65.76%, 65.76%, 35.13% in the control group. The effectiveness and pregnancy rate were higher in the observation group than the control group, but whose postoperative adhesion rate was lower than the control group, the difference was statistically significant （P〈0.05）. Conclusion Medical ozone can improve the patency rate, pregnancy rate in tubal nowhere after interventional therapy, and reduce the adhesion rate again.
出处
《中国煤炭工业医学杂志》
2015年第2期209-211,共3页
Chinese Journal of Coal Industry Medicine
关键词
C形臂X光机
医用臭氧
输卵管再通术
C arm X- ray machine
Medical ozone
Fallopian tube recanalization
