1.Analysis of the effect of laparoscopic salpingostomy in the treatment of infertile caused by hydrosalpinx
Chinese Journal of Primary Medicine and Pharmacy 2013;20(14):2154-2156
Objective To analyze the effect of laparoscopic salpingo.stomy in the treatment of infertile caused by hydrosalpinx,and explore the reasonable treatment method for improving pregancy rate.Methods 130 infertile women with hydrosalpinx were treated with salpingostomy firstly,some unsuccessful cases were treated with salpingectomy.The pregnancy rate between successfully salpingostomied patients and unsuccessfully salpingostomied patients was also compared.Results 85 cases were salpingostomied successfully,the successful rate was 65.4%,among these patients 40 received IVF-ET,there was no difference in the natural pregnancy rate between singly hydrosalpinx (17.9%) and double hydrosalpinx(16.7%) (x2 =0.06,P > 0.05),but the artificial pregnancy rate in single hydrosalpinx(70.0%) was higher than double hydrosalpinx (35.0%) (x2 =4.912,P < 0.05).Among 45 unsuccessfully salpingostomied patients,14 cases underwent salpingectomy,all patients received more than two times of IVF-ET treatment,the pregnancy rate in salpingectomied patients (21.4%) was higher than unsalpingectomied (3.2%) (x2 =3.946,P < 0.05).The artificial pregnancy rate of successfully salpingostomied patients (52.2%) was higher than unsuccessful patients (21.4%) (x2 =4.055,P < 0.05).Conclusion Salpingostomy can raise the pregnancy rate (natural or artificial),it is beneficial to do salpingectomy for unsuccessfully salpingostomied patients who want to receive IVF-ET.
2.Analysis of the Factors Related to the Prognosis of Chronic Cervicitis After Electronic Burn Therapy
Chengkang XU ; Zhuoxian MEI ; Jianzhao HUANG ; Wenting ZHENG
Journal of Sun Yat-sen University(Medical Sciences) 2001;22(3):225-227
【Objective】Finding the relative factors that influence the effect of electronic burn therapy in chronic cervicitis.【Methods】Some pathogens have been detected in 176 cases of patients with chronic cervicitis who have underwent electronic burn therapy.Some possible relative factors that influence the effect of electronic therapy in chronic cervicitis have been analysed.【Results】The relative factors include the degree of cervical erosion,character of cervical grume,degree of vaginal cleanness;puriform cervical grume,poor vaginal cleanness have higher positive rate of all kinds of pathogens.【Conclusion】Some relative pathogens should be detected and eliminated before electronic burn therapy in patients with chronic cervicitis.At least,those patients who present higher degree of cervical erosion,puriform cervical grume,poor vaginal cleanness should be treated with drug until these indexes improve before electronic burn therapy.