章勤辨治输卵管梗阻性不孕验案一则
Treatment of Tubal Obstructive Infertility by Zhang Qin: A Case Report
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1.浙江中医药大学附属杭州市中医院妇科,杭州 310007
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钱海墨, 章勤. 章勤辨治输卵管梗阻性不孕验案一则[DB/OL].(2023-08-02)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=40482947&Fpath=home&index=0
QIAN Haimo, ZHANG Qin. Treatment of Tubal Obstructive Infertility by Zhang Qin: A Case Report[DB/OL].(2023-08-02)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=40482947&Fpath=home&index=0
钱海墨, 章勤. 章勤辨治输卵管梗阻性不孕验案一则[DB/OL].(2023-08-02)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=40482947&Fpath=home&index=0 DOI:
QIAN Haimo, ZHANG Qin. Treatment of Tubal Obstructive Infertility by Zhang Qin: A Case Report[DB/OL].(2023-08-02)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=40482947&Fpath=home&index=0 DOI:
病史摘要,2,患者张某某,女性,29岁,2019年10月31日因“未避孕未孕2年”就诊。患者适龄结婚,配偶生殖能力正常,婚后未避孕未孕2年。四诊信息:患者体型中等,神志清,腰酸怕冷,小腹两侧隐痛不适,胃纳一般,二便、夜寐尚可。月经延后,30~90天不定、3~5日净,经量偏少、色黯淡,偶有血块,经行少腹疼痛。舌质黯、苔薄有瘀斑,脉沉弦细涩。中医诊断 无子(肾虚血瘀证)。西医诊断 输卵管梗阻性不孕。干预措施 中医治疗以温煦肾阳,祛瘀通络为法,予自拟中药方口服,联合中药保留灌肠治疗;西医予促排卵药助孕。疗效转归 患者促排卵后成功受孕,孕期安好,顺利生产。
Summary of case history, The patient Zhang, female, 29 years old, visited the doctor on October 31, 2019 due to "no contraception and no pregnancy for 2 years". The patient was married at the appropriate age, the spouse had normal reproductive ability, and had not been pregnant for 2 years after marriage without contraception. Symptoms and signs: The patient has a moderate body size, clear consciousness, a sour back and fear of cold, dull pain and discomfort on both sides of the lower abdomen, average stomach appetite, and moderate bowel movements and sleep at night. Delayed menstruation, fluctuating from 30 to 90 days, clean from 3 to 5 days, with less menstrual volume, dull color, occasional blood clots, and less abdominal pain during menstruation. The tongue is dull, with thin moss and ecchymosis, and the veins are deep, stringy, and astringent.,TCM diagnosis, seedless(Kidney Deficiency and Blood Stasis Syndrome).,Western medicine diagnosis, Infertility due to tubal obstruction.,Therapeutic methods, The treatment of traditional Chinese medicine is based on the method of warming kidney yang, removing blood stasis and dredging collaterals, and oral administration of self-made traditional Chinese medicine prescription combined with traditional Chinese medicine retention enema. Western medicine to promote ovulation drug pregnancy.,Clinical outcomes, The patient was successfully conceived after ovulation induction, and the pregnancy was safe and smooth.
输卵管梗阻不孕补肾活血祛瘀通络中西医结合【适合阅读专业】 中医学中医妇产科学
fallopian tube obstructioninfertilitytonifying kidney and activating bloodquyu Tongluointegrated traditional Chinese and western medicine【Suitable majors】 traditional Chinese medicine(TCM)TCM obstetrics and gynecology
TÖRÖK P,MAJOR T. Accuracy of assessment of tubal patenc with selective pertubation at office hysteroscopy compared with laparoscopy in infertile women[J]. J Minim Invasive Gynecol,2012,19(5):627-630.
王娟. 输卵管性不孕腹腔镜术后中医综合治疗方案研究[D]. 广州:广州中医药大学,2009.
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