Curative effect of tubal fimbriostomy,pelvic adhesion-lysis combined with tubal fluid in the treatment of infertile patients with salpingitis
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    Abstract:

    Objective:To evaluate the therapeutic effect of fimbriostomy of tubal tube and pelvic adhesion-lysis in combination with tubal fluid drainage on infertile patients with salpingitis.Methods:120 patients with salpingitis obstructive infertility who met the inclusion and exclusion criteria were divided into observation group(n=62)and control group(n=58)according to different treat-ment methods.The control group was treated with tubal drainage,and the observation group was treated with fimbal end ostomy,pelvic adhesion lysis and tubal drainage.The tubal patency rate,clinical pregnancy rate,perioperative sex hormones[luteinizing hormone(LH),follicle-stimulating hormone(FSH),estradiol(E2)],hemorheological indexes[plasma viscosity,low shear viscosity,erythro-cyte sedimentation rate(ESR)]and inflammatory indexes[tumor necrosis factor alpha(TNF-α),C-reactive protein(CRP)],and the incidence of postoperative complications of the two groups before and after treatment were compared.Results:The tubal patency rate and natural pregnancy rate in the observation group were higher than those in the control group,and the ectopic pregnancy rate was lower(P<0.05).1 month after surgery,compared with the control group,serum LH and FSH concentrations and serum E2 concentrations in the observation group were lower,plasma viscosity,low tangent viscosity,erythrocyte sedimentation rate(ESR)and serum Tumor necro-sis factor(TNF-α)/C-reactive protein(CRP)were lower,and the differences were statistically significant(P<0.05).There was no significant difference in the postoperative complication rate between the observation group and the control group(P>0.05).Conclu-sion:Fimbriostomy of tubal tube and pelvic adhesion lysis combined with tubal fluid can effectively repair the pelvic structure,improve inflammation,promote the recovery of gonadal secretion function,improve the tubal patency rate and clinical pregnancy rate.

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孙瑞清;连雪君;张婷;张巧愉;李玉萍;.输卵管伞端造口术、盆腔粘连松解术联合输卵管通液治疗对输卵管炎性阻塞性不孕患者的疗效[J]. Journal of North Sichuan Medical College,2025,40(3):349-352.

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  • Online: July 24,2025
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