宫腔粘连手术中医管理体系构建与临证实践——全国名中医尤昭玲学术思想与临床经验研究(二)  

Scheme and clinical practice of TCM management system for hysteroscopic adhesiolysis:Research on the academic thought and clinical experience of YOU Zhaoling,the National Famous TCM Practitioner(2)

作　　者：邢艺璇 唐诗 尤昭玲[3] 游卉[3] 刘未艾[1] 莫蕙[2] 张爱倩 XING Yixuan;TANG Shi;YOU Zhaoling;YOU Hui;LIU Weiai;MO Hui;ZHANG Aiqian(The Second Hospital of Hunan University of Chinese Medicine,Changsha,Hunan 410005,China;Macao University of Science and Technology,Macao SAR 999078,China;The First Hospital of Hunan University of Chinese Medicine,Changsha,Hunan 410007,China;The Third Xiangya Hospital of Central South University,Changsha,Hunan 410013,China)

机构地区：[1]湖南中医药大学第二附属医院,湖南长沙410005 [2]澳门科技大学,中国澳门999078 [3]湖南中医药大学第一附属医院,湖南长沙410007 [4]中南大学湘雅三医院,湖南长沙410013

出　　处：《湖南中医药大学学报》2022年第10期1602-1606,共5页Journal of Hunan University of Chinese Medicine

基　　金：国家中医药管理局“尤昭玲全国名中医传承工作室”建设项目(国中医药办人教函2022:5号);湖南省中医药管理局项目(C202201,D2022015);湖南省临床医疗技术创新引导项目(2020SK53605)。

摘　　要：宫腔镜分离粘连手术是中重度宫腔粘连(intrauterine adhesion,IUA)患者首选的治疗方式,但目前临床对于宫腔镜手术缺乏标准统一的规范管理,导致临床妊娠率较低。全国名中医尤昭玲结合多年临证经验,介入中医诊疗方案,综合采用中药汤剂、药膳煲、食疗糕三者结合治疗,构建IUA手术管理体系,包括术前评估、术中注意事项以及术后管理等主要内容,为规范IUA手术中医管理及提高术后妊娠率提供新思路。Hysteroscopic adhesiolysis is the treatment priority for patients with moderate and severe intrauterine adhesion(IUA).However,the shortage of unified and standard management has lead to the low clinical pregnancy rate after hysteroscopic adhesiolysis.YOU Zhaoling,the National Famous TCM Practitioner,based on many years of clinical experience,proposed the scheme of TCM diagnosis and treatment in hysteroscopic adhesiolysis.She adopted the TCM decoction,medicated diet pot,diet therapy cake together to build the IUA operation management system,including preoperative evaluation,precautions during operation and postoperative management,etc.The study may provide a new idea for standardizing the TCM management for hysteroscopic adhesiolysis and improving the postoperative pregnancy rate.

关 键 词：宫腔粘连 宫腔镜手术 管理体系 内膜低反应 宫粘1号方 宫粘2号方 尤昭玲 医案 

分 类 号：R271.8[医药卫生—中医妇科学]