多囊卵巢综合征-体外受精胚胎移植之尤昭玲临证心悟  

YOU Zhaoling′s Clinical Understanding of in Vitro Fertilization and Embryo Transfer for Polycystic Ovary Syndrome

作　　者：孙梦林 游卉[1,3] 尤昭玲 SUN Menglin;YOU Hui;YOU Zhaoling(The First Hospital of Hunan University of Chinese Medicine,Changsha 410007,China;Hunan University of Chinese Medicine,Changsha 410208,China;YOU Zhaoling National Famous Expert Inheritance Studio of Traditional Chinese Medicine,Changsha 410007,China)

机构地区：[1]湖南中医药大学第一附属医院,长沙410007 [2]湖南中医药大学,长沙410208 [3]尤昭玲全国名老中医药专家传承工作室,长沙410007

出　　处：《世界中医药》2023年第15期2199-2203,共5页World 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);湖南省自然科学基金面上项目(2020JJ4482);湖南省中医药科研计划项目重点课题(C2022012);湖南省科技创新计划项目(2020SK53605)。

摘　　要：多囊卵巢综合征(PCOS)是影响女性生殖健康的常见疾病,是生殖内分泌紊乱及代谢异常疾病,属于世界卫生组织-Ⅱ类排卵障碍。体外受精-胚胎移植,俗称试管婴儿,往往是PCOS患者妊娠的最终选择方式。单纯的PCOS不是试管婴儿的适应证,当PCOS患者有输卵管功能障碍、反复促排未孕或有明显遗传疾病时才可选择行试管。当PCOS行试管时,根据其并发症情况,选择的卵泡刺激方案、移植胚胎方案、医疗顺序都有所不同。尤昭玲教授对PCOS行试管的中医全程伴调有其独特的思考,并形成一套成熟体系。Polycystic ovary syndrome(PCOS)is a common disease affecting females′reproductive health.It is a reproductive endocrine disorder and metabolic disorder,belonging to a groupⅡovulation disorder defined by the World Health Organization(WHO).In vitro fertilization and embryo transfer,commonly known as the test tube baby technology,is often the final choice of the patients with PCOS.The PCOS alone is not the indication of in vitro fertilization and embryo transfer.This technology can be used only when PCOS patients present tubal dysfunction,non-pregnancy after repeated ovulation induction or obvious genetic diseases.In the application of in vitro fertilization and embryo transfer,the complications of PCOS should be considered for the selection of the follicular stimulation scheme,embryo transfer scheme,and treatment order.Professor YOU Zhaoling has developed unique thinking and formed a mature system on the application of TCM for regulation during the whole process of in vitro fertilization and embryo transfer for PCOS.

关 键 词：多囊卵巢综合征 体外受精-胚胎移植 卵巢刺激方案 尤昭玲经验 中医伴调 试管婴儿 临证心悟 

分 类 号：R271.14[医药卫生—中医妇科学]