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目的探讨Cook导丝应用于输卵管因素导致不孕的介入治疗临床效果。方法收治85例有输卵管阻塞性不孕的患者,平均29.5岁,通过宫腔镜直视下Cook导丝疏通术,结合中药加理疗,实施治疗。结果 85例患者中,1次复通率86.1%,手术顺利,失血量少,灌流液量及吸收量均正常范围,无子宫、输卵管穿孔,无并发术后感染,术后定期复诊、随诊。结论在宫腔镜直视下,采用Cook导丝疏通针对输卵管单侧或双侧近端梗阻性不孕者,成功率高,准确率高,并发感染少,配合中药加理疗,改善生殖预后,获得良好的临床效果。
Objective To investigate the clinical effect of Cook wire in the interventional treatment of tubal infertility. Methods Totally 85 patients with tubal obstruction infertility were enrolled. The average age was 29.5 years old. The patients were treated with Cook wire guide by hysteroscopy and combined with traditional Chinese medicine plus therapy. Results Among the 85 patients, the primary recanalization rate was 86.1%, the operation was smooth, the amount of blood loss was less, the volume of fluid and the amount of fluid absorbed were normal, and no uterus and fallopian tube perforation were found. No postoperative infection was found. . Conclusion Under the guidance of hysteroscopy, the use of Cook guide wire to clear the tubal unilateral or bilateral proximal obstruction infertility, high success rate, high accuracy, less complicated infection, with Chinese medicine plus treatment, to improve reproductive prognosis, Get good clinical results.