中医药内外合治输卵管性不孕验案
A Case of Internal and External Treatment of Tubal Infertility in Traditional Chinese Medicine
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1.成都中医药大学附属医院妇科,成都 610075
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魏绍斌, 周思韵, 石玲. 中医药内外合治输卵管性不孕验案[DB/OL].(2023-08-02)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=40482899&Fpath=home&index=0
WEI Shaobin, ZHOU Siyun, SHI Ling. A Case of Internal and External Treatment of Tubal Infertility in Traditional Chinese Medicine[DB/OL].(2023-08-02)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=40482899&Fpath=home&index=0
魏绍斌, 周思韵, 石玲. 中医药内外合治输卵管性不孕验案[DB/OL].(2023-08-02)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=40482899&Fpath=home&index=0 DOI:
WEI Shaobin, ZHOU Siyun, SHI Ling. A Case of Internal and External Treatment of Tubal Infertility in Traditional Chinese Medicine[DB/OL].(2023-08-02)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=40482899&Fpath=home&index=0 DOI:
病史摘要,2,患者,女性,37岁,职员。已婚,G1P0,+1,,因“未避孕未孕4,+,年”就诊。患者平素月经规律,4,+,年前开始备孕,未避孕至今仍未孕。2018年3月曾行子宫输卵管造影,提示左侧输卵管通而不畅,右侧输卵管粘连。2020年开始在四川大学华西第二医院生殖中心行体外受精-胚胎移植(IVF-ET),2020年7月IVF移植后50,+,天未见胚芽胎心清宫,现有一冻胚,拟中医药调理后再行IVF-ET。既往有高泌乳素血症病史4,+,年,2021-5-17查PRL:49.2 ng/mL。中医诊断 不孕症(肾虚肝郁证)西医诊断 输卵管性不孕;高泌乳素血症干预措施 中医综合治疗(中药汤剂、中药灌肠、中医特色疗法)疗效转归 共治疗6个月,单用中医药内外合治方案达到自然受孕,孕后于成都中医药大学附属医院妇科住院予中西医结合保胎治疗,出院后产科定期随诊,现妊娠6,+,月。
Summary of case history, Patient, female, 37 years old, office worker. married, G1P0,+,1. The main clinical manifestation was "could not conceive 4,+, years without contraception". The patient has regular menstruation. She started to prepare for pregnancy since 4,+, years ago, however, she hasn't been pregnant yet until today without contraception. In March 2018, the patient had hysterosalpingography, which indicated that the left fallopian tube was unblocked but not smooth, and the right fallopian tube was adhesive. Then she started IVF-ET in the Reproductive Center of West China Second University Hospital in 2020. In July 2020, there was no embryo could be found after transplantation for 50+ days. And now, she still has a frozen embryo left. So she plans to take IVF-ET after conditioning with traditional Chinese medicine. The patient had a history of hyperprolactinemia for 4,+, years. The reproductive endocrine hormone showed that: PRL: 49.2 ng/mL on May 17, 2021.,TCM diagnosis, Female Infertility(kidney-deficiency and liver-depression syndrome),Western medicine diagnosis, Tubal infertility; Hyperprolactinemia,Therapeutic methods, Traditional Chinese Comprehensive Treatment (Chinese herbal decoction, Chinese herbal enema and TCM characteristic therapy),Clinical outcomes, The patient was treated for 6 months, and the natural pregnancy was achieved with the combination of internal and external treatment of traditional Chinese medicine alone. And then she was hospitalized in the Department of Gynecology of the Affiliated Hospital of Chengdu University of Traditional Chinese Medicine and was treated with the combination of traditional Chinese and western medicine for fetal protection. She recieved regular obstetric follow-up after discharge. And now she has been pregnant for 6,+,months.
输卵管性不孕中药汤剂中药灌肠中医特色疗法【适合阅读专业】 中医妇科中西医结合妇科
Tubal infertilityChinese herbal decoctionChinese herbal enemaTCM characteristic therapy【Suitable majors】 Gynecological department of TCMIntegrative gynecology
谢幸, 孔北华, 段涛. 妇产科学.第9版 [M]. 北京人民卫生出版社, 2018.
World Health Organisation. Infertility (2020)[EB/OL]. (2022). [2022-07-29]. https://www.who.int/news-room/fact-sheets/detail/infertilityhttps://www.who.int/news-room/fact-sheets/detail/infertility.
A. M. Woolner, S. Bhattacharya. Intergenerational trends in reproduction: Infertility and pregnancy loss[J]. Best Pract Res Clin Obstet Gynaecol, 2023, 86: 102305.
李亚,白文佩,陈俊雅,等.输卵管性不孕全流程管理中国专家共识(2023年版)[J].中国实用妇科与产科杂志,2023,39(03):318-324.
林小娜,黄国宁,孙海翔,等.输卵管性不孕诊治的中国专家共识[J].生殖医学杂志,2018,27(11):1048-1056.
谈勇. 中医妇科学.第4版[M]. 中国中医药出版社, 2016: 489.
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