赵宏利治疗薄型子宫内膜不孕症验案一则
A Case of ZHAO Hongli Treating Thin Endometrial-Associated Infertility
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1.浙江中医药大学附属杭州市中医院妇二科,杭州 310007
2.浙江中医药大学第三临床医学院, 杭州 310053
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杨汉铭, 丁心逸, 赵宏利. 赵宏利治疗薄型子宫内膜不孕症验案一则[DB/OL].(2023-10-28)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=43200264&Fpath=home&index=0
YANG Hanming, DING Xinyi, ZHAO Hongli. A Case of ZHAO Hongli Treating Thin Endometrial-Associated Infertility[DB/OL].(2023-10-28)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=43200264&Fpath=home&index=0
杨汉铭, 丁心逸, 赵宏利. 赵宏利治疗薄型子宫内膜不孕症验案一则[DB/OL].(2023-10-28)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=43200264&Fpath=home&index=0 DOI:
YANG Hanming, DING Xinyi, ZHAO Hongli. A Case of ZHAO Hongli Treating Thin Endometrial-Associated Infertility[DB/OL].(2023-10-28)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=43200264&Fpath=home&index=0 DOI:
病史摘要,2,患者,女,36岁,因“清宫术后月经量少、未避孕未再孕1年余”就诊。患者2014年因稽留流产行清宫术,术后月经量较前明显减少,有时仅需护垫即可。患者有再生育需求,后未避孕至今未再孕。患者就诊时自觉体力欠佳,舌淡红,苔白腻润,脉滑略细。中医治以通补奇经,口服以厚胞汤加减,并予宫腔镜下粘连分离术配合术后中药妇外四号保留灌肠,三管齐下。治疗8月余后生化妊娠1次,下一周期自然受孕,后诞下一女。中医诊断 月经过少,奇经受损证;不孕病西医诊断 薄型子宫内膜,子宫内粘连,继发不孕干预措施 宫腔镜下粘连分离术加中药保留灌肠加中药通补奇经口服疗效转归 治疗9月余,生化妊娠1次后成功受孕,后诞下一女
The patient, female, 36 years old, visited the doctor because of "inevitable miscarriage and less menstrual flow、no further pregnancy without contraceptionfor more than 1 year". The patient underwent uterine evacuation due to missed abortion in 2014, and the menstrual flow was significantly reduced after surgery, and sometimes only a pad was needed. The patient has the need to reproduce again, and she has not been pregnant since she did not use contraception. The patient felt that his physical strength was poor at the time of consultation, his tongue was red and white and greasy, and his pulse was slippery and fine. The traditional Chinese medicine treatment is to Tonifying and Through Qi meridians, oral administration of Houbao Decoction, and hysteroscopic separation of adhesions combined with postoperative traditional Chinese medicine Fuwai No.4 retention enema, a three-pronged approach. After more than 8 months of treatment, biochemical pregnancy was performed once, and the next cycle was naturally conceived, and a daughter was born after that.,TCM diagnosis, low menstrual flow,the qi meridians is damaged;infertility,Western medicine diagnosis, thin endometrial;intrauterine adhesion;secondary infertility,Therapeutic methods, Transcervical resection of adhesion,Herbs retain enemas, and Herbal decoction.,Clinical outcomes, After a biochemical pregnancy, the patient was successfully conceived and gave birth to a daughter by more than 9 months of treatment.
薄型子宫内膜子宫内粘连不孕症通补奇经
thin endometrialintrauterine adhesioninfertilitytonifying and through Qi meridians
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