摘要
目的 观察联合应用子宫输卵管造影和B超监测卵泡治疗不孕症的疗效.方法 将584例不孕症患者按照随机数字表法分为对照组（接受综合优化治疗）和研究组（接受综合优化治疗及优势输卵管侧助孕治疗）,每组292例.所有患者均接受子宫输卵管造影,研究组接受B超监测卵泡以确定优势卵泡.结果 研究组宫内妊娠率高于对照组[40.07%（117/292）比19.86%（58/292）]（P＜0.01）,异位妊娠率低于对照组[29.79%（87/292）比51.37%（150/292）]（P＜0.01）.输卵管通而不畅者异位妊娠率[74.36%（58/78）]高于输卵管积水[38.96%（30/77）]、输卵管阻塞[38.24%（104/272）]、输卵管尚通[28.66%（45/157）]（P＜0.01）.结论 子宫输卵管造影可以了解不孕症患者输卵管情况,B超监测卵泡发育可以确定优势卵泡.两者结合指导性生活,可以提高妊娠率,值得临床推广.
Objective To observe the therapeutic effect on the infertilitas feminis combining hysterosalpingography （HSG） and B ultraphonic monitor for the follicle. Methods Five hundred and eighty-four patients with infertility were divided into two groups by random digits table： control group with 292 patients received the combined optimized treatment, and study group with 292 patients received the combined optimized treatment and optimizing fallopian tube to be pregnant. All patients received the HSG while the patients of the study group received the B ultraphonic monitor for the dominant follicle besides. Results The intrauterine gestation rate in the study group was higher than that in the control group [ 40.07% （117/292） vs. 19.86% （58/292）] （P 〈0.01）,and the eccyesis rate was lower than that in the control group [29.79% （87/292） vs. 51.37%（l50/292）]（P〈0.01）. The eccyesis rate in fallopian tube incompletely unobstructed [74.36% （58/78）] was higher than that in hydrosalpinx [ 38.96% （30/77）] , salpingemphraxis [38.24% （104/272）] and fallopian tube unobstructed[28.66%（45/157）]（P〈0.01）. Conclusions HSG can detect and imply the situation of the fallopian tube of the infertilitas feminis women, and B ultraphonic can monitor the follicular development to catch the dominant follicle. Combining these two detection and guiding sexual life can raise the intrauterine gestation rate. It should be widely use in clinic.
出处
《中国医师进修杂志》
2011年第15期28-30,共3页
Chinese Journal of Postgraduates of Medicine
关键词
子宫输卵管造影术
超声检查
卵泡
不孕症
Hysterosalpingography
Ultrasonography
Ovarian follicle
Infertilitas feminis
作者简介
Email：caoshanzhulh@163．com.
