SU1736497A1 - Method for treating tubal sterility - Google Patents

Abstract

The invention can be used in medicine, namely to gynecology. The purpose of the invention is to increase the frequency of restoration of the tubal patency and the onset of uterine pregnancy. From 7–8 days of the menstrual cycle, 5–7 sessions of phonohydrosis are conducted every other day while simultaneously creating moderate magnetic hyperthermia of the pelvic organs. Positive effect: restoration of menstrual function in 22 women out of 26, 50% had a uterine pregnancy.

Description

The invention relates to medicine, namely to gynecology.

The purpose of the invention is to increase the frequency of restoration of the tubal patency and the onset of uterine pregnancy.

The method of treatment is carried out as follows.

On the background of drug therapy (desensitizing agents, vitamins, tissue preparations), magneto-hyperthermia and phonohydrotubations are conducted from 7–8 days of the menstrual cycle. A woman is laid on a gynecological chair. A frame emitter is applied to the patient's small pelvis for inductothermia, the radius of which exceeds the distance from the plane of the frame to the posterior wall of the uterus. The emitter is supplied with electric power from the generator, sufficient to create a magnetic induction of 2-3 Gs at frequencies of 27.12 or 40.68 MHz, which is measured at a point above the patient's body, remote from the plane of the frame along its axis equal to the removal of pipes.

With the help of vaginal mirrors, the cervix of the cervix is exposed and captured with bullet forceps. An ultrasonic emitter is supplied through the zirvical canal into the uterine cavity, equipped with a special obductor that allows the medicinal substance to be injected through it and at the same time creates tightness. Through the inlet, the obturator reports to the hydrotubation system. The pressure in the system is raised slowly over a period of 20-30 min. And adjusted gradually to 160-180 mm Hg. An antibiotic (taking into account the sensitivity of microflora), hydrocortisone, novocaine, lidaza (or chymotrypsin) in the dosages generally accepted for this procedure are usually included in the composition of the medicinal mixture for hydroponotubations.

The ultrasonic emitter is connected to a pulsed low-frequency ultrasound source. The optimal allowed frequency is 22 kHz, the amplitude is 2 microns.

Magnetic hyperthermia and phonohydrosis were carried out simultaneously for 30-45 minutes. The course of treatment is 5-7 sessions.

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Example 1. Sick K., 28 years old. For 6 years suffers from infertility. She was repeatedly treated in outpatient and inpatient conditions, she took sanatorium-resort treatment. A detailed clinical examination revealed obstruction of the fallopian tubes in the ampullae (right) and isthmic (left) departments. A bacteriological study of the microflora of the vagina and the cervical canal, the rehabilitation of the vagina. On the background of drug treatment (aloe, plazmol, Bi / Be, Bi, Be, Bi2, C, folic acid, suprasgin), we conducted 6 sessions using the proposed method. A woman is placed on a gynecological chair. A frame radiator of a high-frequency magnetic field with a magnitude of magnetic induction in the intended area of the pathological focus 2-3 Gs was superimposed on the field of small gas. A low-frequency (22 kHz) ultrasound emitter was pulsed into the uterine cavity. With the help of an obturator, the cervical canal was sealed and a drug mixture of 1.0 streptomycin, 50 mg of hydrocortisone, 128 U of lidaza was supplied into the uterine cavity through the system for hydroutosis. 25 ml of a 0.25% novocaine solution. After 4 sessions of phonohydrotube-V-. the magnegoa sherthermia, the patency of the fallopian tubes was restored, the woman underwent an additional course of sanatorium-smoking treatment. After 3 months, the pregnancy began which ended in physiological childbirth.

Example 2, Ill 3 .. 31 years. For 6 years, suffers from secondary infertility. The first pregnancy is ectopic. A detailed clinical examination of the right fallopian tube is missing, the left is impassable. From the anamnesis: 2 courses of inpatient treatment, and a course of outpatient. Vitamins of group B, C, E. folic acid, biogenic stimulators (aloe, plasmol, vitreous body) were prescribed. 2 courses of magneto-hyperthermia and phytohydrotubation were conducted for 7 sessions each. The woman was laid on a gynecological chair. On

the pelvic area was superimposed by a frame radiator of a high-frequency magnetic field with a magnetic induction value in the lesion center of 2–3 Gs. In the uterine cavity

an ultrasonic emitter of pulsed low-frequency ultrasound was introduced, and at the same time using the apparatus for hydrotubation, the drug mixture was delivered: gentamicin 80 mg, hydrocortisone 30

mg, 64 U of lidaza, 30 ml of 0.25% novocaine solution. By the end of the treatment, the patency of the pipe was fully restored. The woman took a course of spa treatment. After 3 months, there was a uterine pregnancy, which ended in normal delivery. After 2 years, repeated physiological labor.

The proposed method treated 26 women suffering from tubal infertility.

At the same time, it should be noted that 19 of them were unsuccessfully repeatedly treated by the method of using a low-frequency magnetic field of 15-20 mTs in the first phase of the menstrual cycle and phonophoresis of drugs in the second phase. The patency of the fallopian tubes was restored in 22 women, 10 had a pregnancy (1 ectopic). Women continue to be monitored.

Claims (1)

Claims of treatment of tubal infertility by administering drugs in combination with physiotherapeutic effect, characterized in that, to increase the patency of the fallopian tubes and the onset of uterine pregnancy, from 7 to 8 days of the menstrual cycle, an ultrasound ultrasound is performed every day radiator to the tube angle of the uterus, while the ultrasound frequency of 22 Hz and the amplitude of 2 microns in a pulsed mode, and simultaneously affects the The area around the pelvic organs with an magnetic field of induction in the lesion center is 2-3 Gs, the duration of a session is 30-45 minutes, for a course of 5-7 sessions.