从瘀论治输卵管炎性不孕症

Treatment of Oviduct Inflammatory Infertility from Blood Stasis

输卵管炎性不孕症无论成因如何,临床常见少腹部疼痛、不适、痛经、经行不畅、月经色暗、有血块等症状,均为瘀血内阻之象,是故其中医病机关键即在于"瘀"。临床宜辨病辨证结合,审病机之轻重缓急,祛瘀思想贯彻始终,并知常达变。同时根据患者输卵管梗阻轻重,结合必要的现代医学疗法如输卵管介入再通术、腹腔镜手术等,中西医各取所长,可缩短疗程,加快输卵管功能恢复,增加最终受孕率。

Regardless of the cause, clinical common symptoms of oviduct inflammatory infertility are abdominal pain, discomfort, dysmen- orrhea, hypomenorrhea, dark color, blood clot in menstrual, and they all belong to blood stasis resistance, so the key of TCM pathogenesis is ＂stasis＂. Syndrome differentiation combined with symptoms differentiation in clinical, priorities of pathogenesis, thought of removing stasis throughout,knowing commonness of the diseases for the change. According to obstruction degree combined with the necessary modem medical therapy, such as allopian tube recanalization, laparoscopic surgery, eet. , namely, combined Chinese and western medi- cine can shorten the treatment course, speed up the fallopian tube functional recovery, increase the conception rate in the end.