Clinical study of Huoxue Tongyu method combined with hot compress formula and acupuncture in the treatment of tubal obstructive infertility
Objective To observe the effects of Huoxue Tongyu method combined with hot compress formula and acupuncture on tubal morphology,uterine microcirculation,recanalization rate and prognosis of patients with tubal obstructive infertility.Methods A total of 98 patients with tubal obstructive infertility treated in Nanjing Jiangbei Hospital Affiliated to Nantong University from January 2021 to January 2022 were selected as the study objects.According to random number table method,49 cases were divided into control group,and were treated with Huoxue Tongyu method combined with hot compress formula.49 cases of acupuncture combined group were treated with Huoxue Tongyu method combined with hot compress formula and acupuncture.The resistance index(RI),vascularized blood flow index(VFI)and pulsation index(PI)of ovarian arteries of the two groups were detected before and after treatment.The tubal flexion,rigidity and beaded changes condition of the two groups were observed before and after treatment.Tubal blocking rate,tubal obstruction rate and tubal patency rate were compared between the two groups after treatment.After 12 months of follow-up,the pregnancy success rate of both groups was recorded.Results After treatment,VFI of acupuncture combined group was higher than that of control group(P<0.05),PI and RI were lower than those of control group(P<0.05).The incidences of tubal flexion,rigidity and beaded changes in acupuncture combined group were lower than those in control group(P<0.05).The tubal patency rate and pregnancy success rate of acupuncture combined group were higher than those of control group(P<0.05).Conclusions In the treatment of tubal obstructive infertility patients,Huoxue Tongyu method combined with hot compress formula and acupuncture can improve tubal morphology and uterine microcirculation,increase the recurrence rate and the success rate of conception,and improve the prognosis.