ABSTRACT
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%)(χ2 =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 (χ2 =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.
ABSTRACT
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.
ABSTRACT
OBJECTIVE To explore the relationship between Ureaplasma urealytium(Uu),Mycoplasma hominis(Mh),and Chlamydia trachomatis(Ct) with infertilitas feminis.The drug sensitivity can offer evidence for rational usage to improve the cure rate.METHODS Of 320 cases of infertility womenthe,primary infertility accounted for 132 cases and the secondary infertility for 188 cases.Other 120 cases of normal women were chosen as control.Secretion samples were used to detect Uu,Mh,Ct,and drug sensitivity.RESULTS The rate of Uu,Ct,Uu+Ct,Uu+Mh in infertility group was significant higher than control group(P0.05);minocycline doxycycline,josamycin and erythromycin cyclocarbonte were sensitive to Uu+Mh;drug resistance rate was higher in Uu+Mh infection, multidrug resistance was very serious.CONCLUSIONS Uu,Mh and Ct infections are the major factors to infertilitas feminis.The detection of Uu,Mh and Ct is good for diagneosis.
ABSTRACT
Objective To evaluate the clinical application of selective salpinography(SSG)and fallopian tube recanalization(FTR). Methods 215 patients with Infertilis Feminis were performed with hysterosalpinoraphy(HSG)SSG and FRT. Anti-infection and physical therapy were then undertaken postoperatively. Results The successful rates of properly performed catheterization and recanalization reached 92.8% and 90.2%, respectively. During the follow-up of six years, 98 cases(51.3%)obtained the ability of intrauterine pregnancy. Conclusions HSG and FTR are simple, reliable, symptomless, very effective for treatment of ovarian tube infertility.