“尤氏调膜十法”辨治宫腔粘连子宫内膜容受性经验拾粹  

Experience of “YOUs’ ten methods of endometrium regulating” for endometrial receptivity of uterine adhesions

作　　者：唐诗 邢艺璇 尤昭玲[3] 游卉[3] 莫蕙[1] 赵行平 张爱倩 TANG Shi;XING Yi-xuan;YOU Zhao-ling;YOU Hui;MO Hui;ZHAO Xing-ping;ZHANG Ai-qian(Macao University of Science and Technology,Macao 999078,China;The Second Affiliated Hospital of Hunan University of Chinese Medicine,Changsha 410005,China;The First Hospital of Hunan University of Chinese Medicine,Changsha 410007,China;The Third Xiangya Hospital of Central South University,Changsha 410013,China)

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

出　　处：《中华中医药杂志》2023年第2期670-674,共5页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：2021年中医药古籍文献和特色技术传承专项项目(No.GZY-KJS-2021-035);湖南省中医药管理局项目(No.D2022015,No.C2022012);湖南省临床医疗技术创新引导项目(No.2020SK53605);湖南省自然科学基金项目(No.2020JJ4482);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(No.国中医药办人教函[2022]5号)。

摘　　要：子宫内膜是女性正常行经、孕育的物质基础。宫腔粘连(IUA)导致子宫内膜基底损伤、内膜容受性破坏,是引起不孕、月经不调的直接因素,因此,IUA是目前妇产科、生殖科的诊疗难题。尤昭玲教授通过经阴道三维超声(3D-TVS)辅诊方式,归纳子宫内膜十类异变状态,提出“尤氏调膜十法”,据证立法,以法选药,并在宫腔粘连治疗方剂的基础上随症加减。Endometrium is the material basis for women’s normal menstruation and pregnancy. The loss of basal layer and receptivity of the endometrium is the contributing cause of infertility and irregular menstruation,which is damaged by uterine adhesions(IUA). So,IUA is regarded as a hard nut in gynecology,obstetrics and reproduction. Professor YOU summed up ten abnormal states of endometrium by three-dimensional transvaginal ultrasound(3D-TVS),and put forward the “YOUs’ ten methods of endometrium regulating”. The therapeutic method of the IUA prescriptions is formulated by syndromes and benefit to the medicine selection,while the formula is modified when symptoms change.

关 键 词：子宫内膜容受性 中医 尤氏调膜十法 宫腔粘连 三维超声 不孕 

分 类 号：R271.9[医药卫生—中西医结合] R249[医药卫生—中医妇科学]