多学科联合诊疗管理平台管理并成功助孕宫腔粘连病案1则——全国名中医尤昭玲学术思想与临床经验研究(六)

Multidisciplinary comprehensive treatment management platform assisted the intrauterine adhesion case to get pregnant:Research on the academic thought and clinical experience of YOU Zhaoling,the National Famous TCM Practitioner(6)

报道1例宫腔粘连(intrauterine adhesion,IUA)由体外受精-胚胎移植转中药调理自然受孕的病案。在平台内行IUA分离术后,连续3个月经周期进行黄体中期经阴道三维超声下评估,达标后取出宫内支架,移植失败1次,后应用“中医序贯助孕法”成功自然受孕,妊娠早期先兆流产,保胎治疗后基本稳定。本案例是1例完整的由多学科联合诊疗管理平台对患者进行术前-妊娠后全程管理的实例,反映全程、规范、精准管理是改善IUA求子患者预后、妊娠率及活产率的有效举措,应将此理念推广并应用于临床,以期提高我国IUA患者生育能力与孕育结局。

This paper reports that a case of intrauterine adhesion(IUA)got natural pregnancy because of Chinese medicine,who once received in vitro fertilization-embryo transfer(IVE-ET).After IUA operation on the platform,the three-dimensional transvaginal ultrasound assessment was performed for 3 consecutive menstrual cycles.The intrauterine stent was then removed after reaching the standard.The transplant failed once,and the"sequential method for Chinese Medicine to enable pregnancy"method was then used to enable the natural pregnancy.Threatened abortion in the first trimester had been basically stabilized with fetal protection.This is the complete case of preoperative and post-pregnancy management of the IUA patient by multidisciplinary comprehensive treatment management platform,indicating that the full-course,standardized and precise management is effective to improve the prognosis,pregnancy rate and live birth rate of IUA patients.This idea could be promoted and applied in clinical practice in order to improve the fertility and pregnancy outcomes of IUA patients.