中药联合腔内理疗治疗薄型子宫内膜经验撷菁  

Experience in treating thin endometrium by traditional Chinese medicine combined with intracavitary physiotherapy

作　　者：王艺绚 庞聪慧[2] 吴海萃[2] 于艺 夏芳丹 连方[2] WANG Yixuan;PANG Conghui;WU Haicui;YU Yi;XIA Fangdan;LIAN Fang(Shandong University of Traditional Chinese Medicine,Jinan 250000,China;Reproductive Genetics Center of Integrated Traditional Chinese and Western Medicine,Affiliated Hospital of Shandong University of Traditional Chinese Medicine,Jinan 250000,China)

机构地区：[1]山东中医药大学,济南250000 [2]山东中医药大学附属医院中西医结合生殖与遗传中心,济南250000

出　　处：《中华中医药杂志》2024年第2期784-787,共4页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：国家自然科学基金面上项目(No.81974577,No.82274573)。

摘　　要：子宫内膜过薄可导致子宫内膜容受性下降,胚胎反复种植失败,目前已成为临床一大棘手问题。连方教授以“肾主生殖”为理论指导,认为薄型子宫内膜的病位在胞宫,肾虚精亏为基本病机,肝郁脾虚、胞脉血瘀为其主要兼证。连教授辨证论治时,注重分期论治,通过对肾阴、肾阳的调控,使机体达到阴平阳秘的稳定状态,同时根据患者临床症状随证加减。此外,在局部配合使用腔内理疗,改善宫腔环境,提高子宫内膜容受性,获得了较好的临床疗效。Thin endometrium can lead to decreased endometrial receptivity and repeated implantation failure of embryos,which has become a major clinical problem.Professor LIAN Fang,guided by the theory of‘kidney dominates reproduction’,believes that the disease location of thin endometrium is in the uterus,kidney deficiency and essence deficiency are the basic pathogenesis,and stagnation of liver qi and spleen deficiency,cell vein blood stasis are its main concurrent syndromes.Professor LIAN Fang attaches importance to staging treatment in syndrome differentiation and treatment,through the regulation of kidney yin and kidney yang,so that the body reaches the stable state of yin and yang secret,and at the same time according to the clinical symptoms of patients with the disease addition and subtraction.In addition,intracavitary physiotherapy is used locally to regulate the blood flow velocity in utero and the nutritional status of local tissues,improve the uterine cavity environment,improve endometrial receptivity,and obtain better clinical efficacy.

关 键 词：薄型子宫内膜 补肾调周 腔内理疗 连方 名医经验 

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