输卵管不孕症患者在内镜手术后采用综合物理治疗和硫化氢矿物疗法的康复治疗

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研究目的。 评估综合物理治疗和硫化氢矿物疗法在输卵管内镜手术治疗输卵管性和子宫性不孕症患者中的临床疗效。

材料与方法本研究纳入 104 例因输卵管性或子宫性不孕接受输卵管内镜手术的患者，并采用简单随机化方法将其分为三组。对照组（n=34）接受标准术后治疗，包括常规抗生素治疗。第二组（n=32）在标准术后治疗的基础上，额外接受电磁激光治疗及抗粘连可吸收凝胶 Mesogel（俄罗斯）。主要研究组（n=38）在接受联合药物和电磁激光治疗后，进一步接受硫化氢矿物疗法作为延迟康复措施。所有患者均接受标准化评估，包括临床及免疫学指标测定，子宫输卵管造影，盆腔超声检查及生活质量评估。

结果研究表明，物理治疗与天然矿物疗法在恢复女性生殖功能方面具有良好效果。主要研究组患者的临床症状显著缓解（p <0.01），免疫状态指标改善（p <0.05），输卵管通畅性恢复（p <0.05），盆腔器官状况改善。主要研究组与对照组终末指标的统计学差异具有显著性（p <0.05）。研究结果证实，提出的康复治疗方案疗效较高，其中 48% 的患者成功妊娠。

结论研究结果表明，在输卵管内镜手术治疗输卵管性和子宫性不孕症患者中，综合康复方案可显著增强标准治疗的疗效，并有效改善患者的生殖功能。

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作者简介

Larisa V. Tsallagova

North Ossetian State Medical Academy; Institute of Biomedical Research

编辑信件的主要联系方式.
Email: akusherstvo_1@mail.ru
ORCID iD: 0000-0001-8875-8032
SPIN 代码: 8287-6113

MD, Dr. Sci. (Medicine), Professor

俄罗斯联邦, Vladikavkaz; Vladikavkaz

Irva V. Kabulova

North Ossetian State Medical Academy; Institute of Biomedical Research

Email: akusherstvo_1@mail.ru
ORCID iD: 0000-0002-0303-931X
SPIN 代码: 2022-3238

MD, Cand. Sci. (Medicine), Assistant Professor

俄罗斯联邦, Vladikavkaz; Vladikavkaz

Milana N. Sharipova

Institute of Biomedical Research

Email: akusherstvo_1@mail.ru
ORCID iD: 0009-0002-7667-8654

postgraduate student

俄罗斯联邦, Vladikavkaz

Lela A. Gurtsieva

North Ossetian State Medical Academy

Email: akusherstvo_1@mail.ru
ORCID iD: 0000-0002-3050-1303

postgraduate student

俄罗斯联邦, Vladikavkaz

Karina M. Galuaeva

North Ossetian State Medical Academy

Email: akusherstvo_1@mail.ru
ORCID iD: 0009-0007-4899-9641

postgraduate student

俄罗斯联邦, Vladikavkaz

Liana V. Maisuradze

North Ossetian State Medical Academy; Institute of Biomedical Research

Email: akusherstvo_1@mail.ru
ORCID iD: 0000-0002-0310-2251

MD, Dr. Sci. (Medicine), Professor

俄罗斯联邦, Vladikavkaz; Vladikavkaz

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