冯秀芹

摘  要：目的  探究通脉散结汤辅助介入再通术治疗输卵管堵塞性不孕症的效果。方法  选取2018年1月～2020年1月泰安市中医医院收治的60例输卵管堵塞性不孕症患者为研究对象，采用随机数表法分为观察组与对照组，每组30例。对照组患者采用介入再通术治疗，观察组患者采用通脉散结汤与介入再通术联合治疗，分析两组输卵管堵塞性不孕症患者治疗结果的差异。结果  观察组患者的总有效率高于对照组患者，差异有统计学意义（P<0.05）。干预后两组患者的中医证候积分均低于治疗前，观察组患者的中医证候积分低于对照组，差异均有统计学意义（P<0.05）。结论  输卵管堵塞性不孕症患者接受通脉散结汤与介入再通术联合治疗，可以改善治疗效果，值得在临床中应用。

关键词：通脉散结汤;介入再通术;输卵管堵塞性不孕症

中图分类号：R711.6    文献标识码：A    文章编号：1009-8011（2021）-15-0001-03

Clinical study of Tongmai Sanjie Decoction assisted interventional recanalization in the treatment of infertility caused by tubal blockage

FENG Xiu-qin

（Obstetrics and Gynecology， Tai'an Hospital of Traditional Chinese Medicine， Shandong Tai 'an，271000，China）

Abstract： Objective  To explore the effect of Tongmai Sanjie Decoction assisted interventional recanalization in the treatment of tubal obstruction infertility. Methods  60 patients with Tubal Obstructive Infertility Treated in Tai'an traditional Chinese medicine hospital from January 2018 to January 2020 were selected as the research object. They were randomly divided into observation group and control group， with 30 cases in each group. The patients in the control group were treated with interventional recanalization， and the patients in the observation group were treated with Tongmai Sanjie decoction combined with interventional recanalization. The difference of treatment results between the two groups was analyzed. Results  The total effective rate of the observation group was higher than the control group， with statistical significance（P<0.05）.The TCM syndrome score of the two groups after intervention was lower than that before treatment， and the TCM syndrome score of the observation group after intervention was lower than that of the control group， with statistical significance（P<0.05）. Conclusion  The treatment of tubal obstruction infertility patients with Tongmai Sanjie Decoction and interventional recanalization can improve the therapeutic effect and is worthy of clinical application.

Keywords： Tongmai Sanjie Decoction; interventional recanalization; tubal obstruction infertility

不孕癥会对患者的生活质量带来严重的影响，近年由于各种因素的影响，不孕症的发生率呈逐渐升高的趋势[1-2]。输卵管堵塞性不孕症是输卵管堵塞、粘连导致受精卵结合受阻，或受精卵难以着床的疾病[3]。目前，临床主要采用介入再通术为输卵管堵塞性不孕症患者治疗，介入再通术能够直接疏通患者堵塞的输卵管，促进输卵管正常功能和形态的恢复，但是术后复发率较高，单独应用效果并不理想。中医认为患者输卵管堵塞性不孕症是气滞血瘀、阻碍胎元引发，因此患者治疗应以通经散结、活血化瘀为主[4]。本研究主要对通脉散结汤辅助介入再通术治疗输卵管堵塞性不孕症的效果进行观察，现报道如下。

1  资料与方法

1.1  一般资料

选取2018年1月～2020年1月泰安市中医医院收治的60例输卵管堵塞性不孕症患者为研究对象，采用随机数表法分为观察组与对照组，每组30例。……