摘要
目的：探讨子宫输卵管造影联合 B 超监测卵泡在不孕症治疗中的临床价值。方法将146例不孕症患者按照数字表法随机分为观察组和对照组各73例，其中对照组采用综合优化治疗，而观察组则在接受综合优化治疗的基础上进行优势输卵管侧助孕治疗；所有患者均接受子宫输卵管造影，而观察组则采用子宫输卵管造影联合 B 超监测卵泡以确定患者的优势卵泡，比较两组患者的妊娠情况。结果146例不孕症患者经子宫输卵管造影检查后发现输卵管积水39例，占26．71％，输卵管阻塞29例，占19．86％，输卵管通而不畅51例，占34．93％，输卵管尚通27例，占18．49％。观察组和对照组不孕症患者的两侧输卵管的造影情况比较差异无统计学意义（P ＞0．05）。观察组的宫内妊娠率（41．10％）明显高于对照组（20．55％），而异位妊娠率（28.77％）则明显低于对照组（50．68％）（χ^2＝7．23、7．32，均 P ＜0．05）。输卵管通而不畅患者中异位妊娠发生明显高于输卵管积水、输卵管阻塞及输卵管尚通等输卵管类型（χ^2＝10．57、5．92、13．85，均 P ＜0．05）。结论子宫输卵管造影联合超声监测卵泡发育，能准确预测排卵日期，指导助孕干预措施，提高不孕者的宫内妊娠率，预防异位妊娠的发生。
Objective To investigate the therapeutic effect of combining hysterosalpingography and B ultra-phonic monitor for the follicle on the infertilitas feminis.Methods 146 infertility patients were randomly divided into observation group and control group according to digital table method,73 cases in each group.Patients in control group were treated with comprehensive optimization of treatment,while the observation group received fallopian canal side of progesterone based on the integrated optimization of treatment.All patients underwent uterine oviduct radiography,and the observation group used the fallopian tube with contrast -enhanced ultrasound in monitoring follicle to identify patients with dominant follicle.The pregnancy rate was compared between two groups.Results 146 cases of infertility patients with the uterus and fallopian tube radiography inspection found hydrosalpinx in 39 cases,accounted for 26.71%,29 cases of tubal blockage,accounted for 19.86%,tubal and the poor in 51 cases （34.93%）,fallopian tube was through 27 cases （18.49%）.There was no significant difference in the contrast between the two sides of the fallopian tube in the observation group and the control group （P 〉0.05）.The intrauterine pregnancy rate of the obser-vation group （41.10%）was significantly higher than the control group （20.55%）,while the ectopic pregnancy rate （28.77%）was significantly lower than the control group （50.68%）（χ^2 =7.23,7.32,all P 〈0.05）.The ectopic pregnancy in patients with tubal obstruction was significantly higher than that of tubal obstruction,tubal obstruction and tubal tubal type （χ^2 =10.57,5.92,13.85,all P 〈0.05）.Conclusion Combining hysterosalpingography and B ultraphonic monitor can accurately predict the date of ovulation,help guide the pregnancy intervention measures, improve the infertility of intrauterine pregnancy rate and prevent the occurrence of ectopic pregnancy.
出处
《中国基层医药》
CAS
2015年第18期2767-2769,共3页
Chinese Journal of Primary Medicine and Pharmacy
关键词
子宫输卵管造影
超声监测
卵泡
不孕症
Hysterosalpingography
B ultraphonic monitor
Follicle
Infertilitas feminis
