External application of traditional Chinese medicine to treat tubal obstruction is a common treatment method in gynecological clinic. The medicine is put into a bag and heated, and directly applied to the affected area to achieve the functions of promoting qi circulation and blood circulation, removing blood stasis and reducing swelling, and has obvious effect on improving the adhesion between local tissues and surrounding tissues.
1. Prescription: Houttuynia cordata 30g, Forsythia suspensa 30g, Sargentodoxa 20g, Leonurus japonicus 20g, Salvia miltiorrhiza 20g, Gleditsia sinensis15g, Fructus Lipuidambaris15g and Glycyrrhiza uralensis10g.
2. External application method: put the above traditional Chinese medicine 1 dose into a white cloth bag, spray a proper amount of water on the cloth bag, steam it for 30 minutes, and apply it to the affected abdomen and lumbosacral region after the temperature is appropriate, once a night, about 1? 3 hours, heated with a thermos. Clean menstruation 3? After 5 days, the medicine was started, and 10 was used continuously? 15 times.
III. Course of treatment: per month 10? 15 times, 3 months is 1 course, 6 months is 2 courses, and 1 year is 3 courses. The end point of treatment is pregnancy within two years.
Empirical research shows that the prescription is composed of 8 Chinese herbs including Houttuynia cordata, Fructus Forsythiae, Caulis Sargentodoxae, Herba Leonuri, Radix Salviae Miltiorrhizae, Fructus Lipuidambaris, Fructus Gleditsiae Abnormalis, etc. It has the functions of clearing away heat, resolving hard mass, promoting blood circulation, removing blood stasis, softening hard mass and dredging collaterals. Its external application can promote the expansion of local venous plexus, improve blood circulation, promote the softening and absorption of adhesion tissue, dredge the pipeline, and thus restore the fallopian tube? Pick up eggs? As well as the function of transporting fertilized eggs to uterine cavity, has definite curative effect on treating tubal obstructive infertility, especially its etiology (mainly chronic inflammation), and has unique advantages in restoring tubal function and improving pregnancy rate.
Surgical treatment of tubal obstruction. Laparoscopic surgery: laparoscopy can not only understand the overall situation of abdominal cavity, but also perform the following operations under laparoscopy: ① salpingostomy can be performed with electric knife. ② Plastic surgery for umbrella tip of fallopian tube. ③ Adhesion and separation. ④ Puncture excision of ovarian crown cyst, paraovarian cyst, ovarian follicular cyst, ovarian pathological cyst, tumor (subserous) resection, etc. ⑤ Electrocauterization of endometriosis focus. ⑥ Abnormal tissue biopsy. ⑦ Tubal drainage.
2. Abdominal surgery: Fine tubal plastic surgery must be performed by laparotomy. Complex adhesion between fallopian tube and adjacent organs of abdominal cavity and scar occlusion caused by sterilization or other inflammatory factors can be performed by microsurgery, and the effect of postoperative recanalization is remarkable. However, it must be pointed out that surgery can restore its patency, but it may not necessarily restore the function of fallopian tubes. Including: ① tubal implantation. ② Tubal anastomosis. ③ Severe adhesion and separation with blood vessels. ④ Large and complicated myomectomy and ovarian tumor resection.
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