The research aims at studying the effectiveness of plasmapheresis and ozonotherapy in treatment of women of reproductive age in early postoperative period after reconstructive-plastic operations. 110 patients with different factors of infertility who passed surgical laparoscopy were examined. All the patients were rehabilitated applying medicinal plasmapheresis (70 patients) and ozonotherapy (40 patients). The results of the study showed the advantages of these methods of treatment in comparison with traditional therapy (antibacterial and physiotherapy in comparative group, 72 patients). So, early rehabilitation of patients including medicinal plasmapheresis and ozonotherapy makes it possible to increase essentially the course of postoperative period, to stabilize adaptive reactions, to recover reproductive function in considerable amount of infertile women.
The urgency of the problem. Clinical studies indicate that the tuboperitoneal factor is the most common cause of infertility (40 - 70%). It is known that the informative value of the indirect methods for assessing the state of the pelvic organs (ultrasound scanning, GHA, EchoGss), widely used to date, does not exceed 60 - 70%. The direct visualization method - transabdominal laparoscopy (LS) - is highly informative, almost 100%. However, at the diagnostic stage, the use of this method is not always justified, because requires hospital conditions, general anesthesia, is quite aggressive and invasive. In this regard, the endoscopic method - fertiloscopy (a combination of transvaginal hydrolaparoscopy, chromohydrotubation and hysteroscopy), which is distinguished by simplicity and ease of implementation, seems to be promising.The aim of the study was to study the availability and information content of fertiloscopy in the examination of patients with infertility.
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