输卵管炎性不孕病例报告1例
增强出版A Case Report of Tubal Inflammatory Infertility
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雷磊. 输卵管炎性不孕病例报告1例[DB/OL].(2023-02-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=29636372&Fpath=home&index=0
LEI Lei. A Case Report of Tubal Inflammatory Infertility[DB/OL].(2023-02-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=29636372&Fpath=home&index=0
雷磊. 输卵管炎性不孕病例报告1例[DB/OL].(2023-02-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=29636372&Fpath=home&index=0 DOI:
LEI Lei. A Case Report of Tubal Inflammatory Infertility[DB/OL].(2023-02-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=29636372&Fpath=home&index=0 DOI:
病史摘要,2,患者梁某,女,26岁,孕1生化1,配偶体健。患者2018年3月生化妊娠一次,随后与现配偶有正常性生活未避孕至今未孕,子宫输卵管造影术示:双侧输卵管通而不畅。后间断予以中药口服治疗,效不佳。予以中药自拟通管方口服、复方红藤败酱汤保留灌肠、消癥散外敷三联治疗,于2020年09月妊娠阳性。四诊信息 神志清晰,精神饱满,表情自然,活动自如,形体壮实,步态平稳,言语清晰,声高有力,肌肤光滑、无斑疹痈。舌脉象:舌暗红,苔黄,边有瘀点,脉弦滑。中医病证 断绪 湿热瘀滞证。中医治法 清热利湿,化瘀通络。西医诊断 1.继发性不孕;2.盆腔炎性疾病后遗症:双侧慢性输卵管炎。干预措施 于2020年8月13日在全麻下行宫腹腔镜联合探查术。术后予以中药自拟通管方口服、复方红藤败酱汤保留灌肠、消癥散外敷三联治疗,并行B超监测卵泡,9月7日予绒促性素5000 IU肌注促排卵并指导同房,2020年9月28日因月经逾期未至,自查尿妊娠阳性。疗效转归 (湖南中医药大学第二附属医院 2020年10月20日)雌二醇:594.50 pg/mL,孕酮>55.00 ng/mL,血HCG:139142.90 MIU/ML。(湖南中医药大学第二附属医院 2020年10月21日)阴道腔内彩超:宫内早孕(约8周),活胎。宫腔积液(14*16*6 mm)。
Summary of case history, Patient Liang, female, 26 years old, pregnant 1 biochemical 1. In March 2018, she had a "biochemical pregnancy", and then she had a normal sex life with her current spouse, but she has not been pregnant so far. Hysterosalpingography showed that both fallopian tubes were blocked. After intermittent treatment with traditional Chinese medicine, the effect was not good. She was given the triple therapy of oral administration of the self-made Tongguan prescription of traditional Chinese medicine, compound Hongtengbaijiang decoction retention enema, and external application of Xiaozheng San, and she became pregnant successfully in September 2020. the patient is conscious, full of energy, natural in expression, able to move freely, strong in shape, smooth in gait, clear in speech, high in voice, smooth in skin and free of macula and carbuncle. Tongue pulse condition: dark red tongue with yellow fur, petechiae on the edge, and slippery pulse string.,TCM diagnosis ,syndrome of stagnation of damp-heat and blood stasis due to broken mood. clearing heat and promoting diuresis, removing blood stasis and dredging collaterals.,Western medicine diagnosis ,1. Secondary infertility; 2. Sequela of pelvic inflammatory disease: bilateral chronic salpingitis.,Therapeutic methods ,On August 13th, 2020, hysteroscopy combined with laparoscopy was performed under general anesthesia. After the operation, the patients were given three treatments: oral administration of traditional Chinese medicine, retention enema of compound Hongteng Baijiang decoction, and external application of Xiaozheng powder. Besides, the follicles were monitored by B-mode ultrasound. On September 7, 2020, 5000iu of chorionic gonadotropin was injected intramuscularly to promote ovulation and guide the roommate. On September 28, 2020, due to overdue menstruation, the urine pregnancy was positive.,Clinical outcomes, (October 20, 2020, Second Affiliated Hospital of Hunan University of Traditional Chinese Medicine) Estradiol: 594.50pg/ml, progesterone ,>, 55.00ng/ml, blood HCG: 139,142.90 miu/ml. (The Second Affiliated Hospital of Hunan University of Traditional Chinese Medicine, October 21, 2020) Intravaginal color Doppler ultrasound: intrauterine early pregnancy (about 8 weeks), live birth.
输卵管炎性不孕中医药宫腹腔镜手术
salpingitis infertilityTraditional Chinese medicinelaparoscopic uterine surgery
BOIVIN J,BUNTING L,COLLINS JA,et al.International estimates of infertility prevalence and treatment-seeking:potential need and demand for infertility medical care[J].HumReprod,2007,22(6):1506-1512.
岑芳,刘洪娟,易蕾,等.中医药联合西药治疗肝郁血瘀型输卵管炎性不孕症136例临床观察[J].中医临床研究,2019,11(21):119-121.
JENNINGS LK,KRYWKO DM.Pelvic Inflammatory Disease(PID)[M].Treasure Island (FL) :Stat Pearls Publishing,2018.
CHUNG P H,WONG C W,IP D K,et al.Is laparoscopic surgery better than open surgery for the repair of congenita al obstruc-tion Areview of the current evidences[J].J Pediatr Surg,2016,52(3):498-503.
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