赵瑞华异病同治子宫内膜异位症合并甲状腺结节、肺结节病例分析
增强出版Case Analysis of Zhao Ruihua's Different Diseases and Same Treatment of Endometriosis, Thyroid Nodules and Pulmonary Nodules
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1.中国中医科学院广安门医院 广安门医院妇科,北京 100053
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石举梅, 赵瑞华. 赵瑞华异病同治子宫内膜异位症合并甲状腺结节、肺结节病例分析[DB/OL].(2023-02-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=29013932&Fpath=home&index=0
SHI Jumei, ZHAO Ruihua. Case Analysis of Zhao Ruihua's Different Diseases and Same Treatment of Endometriosis, Thyroid Nodules and Pulmonary Nodules[DB/OL].(2023-02-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=29013932&Fpath=home&index=0
石举梅, 赵瑞华. 赵瑞华异病同治子宫内膜异位症合并甲状腺结节、肺结节病例分析[DB/OL].(2023-02-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=29013932&Fpath=home&index=0 DOI:
SHI Jumei, ZHAO Ruihua. Case Analysis of Zhao Ruihua's Different Diseases and Same Treatment of Endometriosis, Thyroid Nodules and Pulmonary Nodules[DB/OL].(2023-02-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=29013932&Fpath=home&index=0 DOI:
病史摘要,2,患者王某某,女,44岁,2021年6月6日初诊。主诉“左侧巧囊术后3天”。现病史:患者于2021年6月3日至中国中医科学院广安门医院行腹腔镜检查+左侧卵巢子宫内膜异位囊肿剥除+右侧卵巢囊肿剔除+盆腔粘连松解+子宫内膜异位病灶电灼+子宫肌瘤剔除术,术后为求防止复发就诊。患者既往有甲状腺结节、肺结节病史,未进行系统治疗。已婚,育1子,月经正常。四诊信息 纳眠可,二便可,腰酸痛,急躁易怒,经前1周双侧乳房胀痛伴触痛。舌暗红,白略厚,有瘀点,有齿痕,脉沉滑。中医治法 疏肝理气,活血化瘀中医诊断包括证候诊断 积聚类病,气滞血瘀证。西医诊断 子宫内膜异位症(卵巢型);甲状腺结节;肺结节。干预措施 活血消异方。疗效转归 至2022年3月复查,患者内异症未复发,甲状腺结节、肺结节均消失,中医症状基本消失。
Patient Wang Moumou, female, 44 years old, was first diagnosed on June 6, 2021. The chief complaint is "3 days after the operation of the left chocolate cyst of ovary". History of present illness: The patient went to Guang'anmen Hospital of Chinese Academy of Chinese Medical Sciences on June 3, 2021 for laparoscopy+removal of left ovarian endometrioma cyst+removal of right ovarian cyst+pelvic adhesion release+endometriosis Lesion cautery+myomectomy, postoperatively to prevent recurrence. The patient had a history of thyroid nodules and pulmonary nodules, and no systemic treatment was performed. Married, having 1 child, regular menstruation.,Symptoms and signs,:Eat and sleep well, defecate and urinate well, and have backache.Impatient and irritable, bilateral breast tenderness 1 week before menstruation. Dark red tongue with slightly thick white fur, petechiae, tooth marks, slippery pulse.,TCM treatment,:Soothing Liver, Regulating Qi, Promoting blood circulation and removing blood stasis,TCM diagnosis,:Accumulated cluster disease, Qi stagnation and blood stasis syndrome,Western medicine diagnosis,:Ovarian endometriosis; thyroid nodules; lung nodules.Interventions:Huoxue Xiaoyi PrescriptionClinical outcomes:Re-examination in March 2022, the patient's ovarian endometriosis has not recurred, thyroid nodules and pulmonary nodules have disappeared, and TCM symptoms basically disappeared.【,Keywords,】 Endometriosis; Thyroid nodules; Pulmonary nodules【,Suitable majors,】 gynecology, internal medicine.
子宫内膜异位症甲状腺结节肺结节
EndometriosisThyroid nodulesPulmonary nodules
中华医学会妇产科学会子宫内膜异位症协作组子宫内膜异位症的诊治指南[J].中华妇产科杂志,2015,50(03):161-169.
钟雨青,张婷婷.中医药防治子宫内膜异位症术后复发的临床研究进展[J].辽宁中医药大学学报,2021,23(09):89-93.DOI:10.13194/j.issn.1673-842x.2021.09.019http://dx.doi.org/10.13194/j.issn.1673-842x.2021.09.019.
时光,孙文杰,赵瑞华.基于肝主疏泄探讨子宫内膜异位症与良性乳腺结节、甲状腺结节发病机制的相关性[J].中医杂志,2021,62(20):1776-1779.DOI:10.13288/j.11-2166/r.2021.20.006http://dx.doi.org/10.13288/j.11-2166/r.2021.20.006.
刘洋靖,马朝群,朱太阳,王琼等.桂枝茯苓丸"异病同治"甲状腺结节、乳腺结节及子宫肌瘤网络药理学机制研究[J].中国中医药信息杂志,2022,29(03):17-25.DOI:10.19879/j.cnki.1005-5304.20107472http://dx.doi.org/10.19879/j.cnki.1005-5304.20107472.
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