Observation on the effect of Zhuyun decoction combined with hysteroscopy intubation through liquid in the treatment of infertility / 中国基层医药

Objective To investigate the effect of Zhuyun decoction combined with hysteroscopy intubation through liquid in treatment of the oviduct obstructive infertility.Methods 114 cases with oviduct obstructive infertility were divided into the observation group and the control group according to different treatments,57 cases in each group.The control group was given hysteroscopic cannulation hydrotubation treatment,the observation group was given Zhuyun decoction on the basis of the control group.The clinical effects were compared between two groups.Results The total effective rate of the observation group was 75.4％,which was higher than 50.8％ in the control group(x2 =3.87,P ＜ 0.05).Fallopian tube dredging rate was 80.8％ in the observation group,which was significantly higher than 60.4％ in the control group (x2 =3.85,P ＜ 0.05).Pregnancy average gestation time was (9.5 ± 2.4) months in the observation group,which was significantly shorter than (11.2 ± 1.8) months in the control group (t =4.59,P ＜ 0.05).The improvement of pulsatility index (PI) and resistance index (RI) in the observation group was significantly better than those in the control group(t =3.12,2.25,all P ＜ 0.05).Conclusion Zhuyun decoction combined with hysteroscopy intubation through liquid can promote the oviduct obstructive infertility patients with fallopian tube dredging,increase pregnancy rate,shorten the time of pregnancy,and has no damage,which is worthy of clinical application.

Clinical analysis of trans laparoscope hysterectomy / 中国基层医药

Objective To assess the clinical analysis of trans laparoscope hysterectomy(TLH).Methods Retrospectively analyzed the TLH in 62 patients Which were compared with the trans alxtominal hysterectomy(TAH)in 64 patients.Results Blood loss during operation,analgesic use after operation,time to first passing flatus,hospital stay in TVH group were significantly lower than those in TAH group(P＜0.05),and mean operating time has no significant difference in TVH group and TAH group(P＞0.05).Conclusion TVH has been shown to be an effective modus operandi of mini-invasive and safe.