| 摘要 |
FIELD: medicine. ^ SUBSTANCE: invention refers to medicine, namely to obstetrics and gynaecology, and can be used for treating the patients with tubo-peritoneal infertility integrated with laparoscopic operation. The method involves endoscopic operation in the extent determined by severity of the disease, and additional SCENAR-therapy with using pulse bipolar electric current without constant component in the form of pulses with repetition rate 10 to 350 Hz, including a swept frequency mode within 30-120 Hz with grouping the pulses 2 to 8 and repetition rate 540 Hz to 4.5 kHz and signal modulation by varying pause time relation within 1:1-1:5. Starting from 2-3 day of endoscopic operation, 1 course of SCENAR-therapy is applied. The course makes 10-15 daily procedures of 35-40 minutes, including daily local exposure on organs of small pelvis with applying a vaginal electrode within the first 10 days. Starting from 2-3 day after laparoscopic operation, the following exposures are performed: a) daily, mainly in the first 10 days, direct local exposure on organs of small pelvis with applying a vaginal electrode; b) mainly every second day, local exposure with using reflexogenic zones, and chosen from following zones: exposure on pubis to navel along the midline, then to the right and to the left of the midline; exposure of skin of lower stomach including navel to pubis; exposure of skin of suprapubic region, perineum and large lips of pudendum; reflexogenic zones: the internal surface of right (left - in lefthanders) hip skin, the external posterior surface of left (right - in lefthanders) shin, back of both feet; "palm" zone in the individually dosed and subjectively dosed modes; c) during the course at least three total exposures for correction of activity of nervous, immune and endocrine systems with using general exposure techniques, and chosen from the following zones: "three paths, six points"; "collar zone, forehead, epinephroses"; stomach zone by "square" method; liver and pancreas; d) daily - processing of postoperative seams. There is recovered uterine tubes patency with using hysterosalpingography data (2 months after the operation) in 56%. In the subsequent, pregnancy has occurred in 51%. Considerable reduction of pain syndrome is observed in all patients (85%), improved general well-being, mood (at 90%), increased capacity for work (in 93%), stool normalisation (in 76%), character of menstrual cycle (in 82%) and quality of sexual life (in 78%). ^ EFFECT: method allows improving clinical effectiveness in the patients with tubo-peritoneal infertility. ^ 3 cl, 2 ex |
