1.College of integrated Traditional Chinese and Western Medicine, Hunan University of Traditional Chinese Medicine, Changsha 410208 China
DOI:
扫 描 看 全 文
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:
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=0DOI:
A Case Report of Tubal Inflammatory Infertility增强出版
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.
关键词
输卵管炎性不孕中医药宫腹腔镜手术
Keywords
salpingitis infertilityTraditional Chinese medicinelaparoscopic uterine surgery
references
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.
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.