子宫腺肌病个案报道
One Case Report of Adenomyosis
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丛慧芳. 子宫腺肌病个案报道[DB/OL].(2023-09-18)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=41908470&Fpath=home&index=0
CONG Huifang. One Case Report of Adenomyosis[DB/OL].(2023-09-18)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=41908470&Fpath=home&index=0
病史摘要,2,孔某,女,34岁,因“经行腹痛伴进行性加重10年余,婚后7年未孕”就诊于我院,曾先后就诊于多家医院,均建议行子宫全切术。患者具生育需求,欲保留生育功能,遂来我院就诊。现患者婚后7年未孕,每逢经期第1日,小腹绞痛拒按并伴有肛门坠胀感,经血量多,色暗有块,得温则痛减,腰酸膝软,腹冷如扇;平素畏寒肢冷,腰痛如折,带下量多,尿频,夜不能寐。中医诊断 癥瘕(肾阳亏损,瘀阻胞宫)、痛经、不孕症。西医诊断 子宫腺肌病、不孕症。干预措施 自拟中药方剂经痛愈舒加减口服以调其体;自拟中药方剂红藤煎加减保留灌肠以善局灶。疗效转归 治疗3个月后该患痛经消失,诸症减轻,又随症加减治疗7个月,B超证实子宫大小由13 cm×9.8 cm×7.6 cm,降为9.7 cm×6.7 cm×5.3 cm,已具备受孕之机,于2014年7月剖腹产1子,母子平安。
Summary of case history, Medical history abstract: Kong, female, 34 years old, was not pregnant 7 years after marriage due to "abdominal pain with progressive aggravation for more than 10 years."In 2011, the patient visited the First Affiliated Hospital of Harbin Medical University for ultrasonography, which showed uterus 13 * 9.8 * 7.6 cm, suggesting adenomyosis with adenomyoma formation. The patient visited several western hospitals successively, and the doctor recommended total hysterectomy. The patient wanted to preserve reproductive function, so came to our hospital for treatment. The patient was not pregnant 7 years after marriage. On the first day of each menstrual period, the lower abdominal colic refused to press, the anus bulge sensation, the menstrual blood volume was large, the color was dark and there was a mass, and the pain was reduced when getting heat, accompanied by backache and knee weakness, abdominal feels cold, the amount under the usual belt, frequent urination, and inability to sleep at night., TCM diagnosis, gynecological mass (kidney yang deficiency, blood stasis blocking the uterus), infertility.,Western medicine diagnosis, adenomyosis, infertility., Therapeutic methods, Oral Chinese medicine, Retention enema ,Clinical outcomes, After 3 months of treatment, the dysmenorrhea disappeared and all symptoms were relieved. The patient was treated with addition and subtraction of the disease for 7 months. Ultrasound confirmed that the size of the uterus decreased from 13 cm×9.8 cm×7.6 cm to 9.7 cm×6.7 cm×5.3 cm. In July 2014, the patient delivered a child by caesarean section, and the mother and child were safe.
子宫腺肌病癥瘕痛经不孕症伏寒
adenomyosisgynecological massdysmenorrheainfertilitycold
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