辨证分期治疗慢性盆腔炎合并免疫性不孕症18例疗效观察

Treatment of Chronic Pelvic Inflammation Comlicated with 1m- munologic Sterility According to Syndrome Differentiation: A Clinical Observation of 18 Cases

目的:探讨辨证分期治疗慢性盆腔炎合并免疫性不孕症的临床疗效。方法:选择慢性盆腔炎合并免疫性不孕症(血清抗精子抗体阳性)患者18例,采用辨证分期治疗。月经干净后,治以活血化瘀、理气祛湿为主;在(或相当于)排卵期或排卵后,治以补肾养血,活血化瘀为主;在经前期,治以理气活血调经为主;在月经干净后至经前期,加用小剂量阿司匹林。结果:盆腔炎临床症状及体征痊愈7例,显效6例,有效5例;全部患者获得妊娠,宫内妊娠者17例(观察至妊娠3月,均正常),输卵管妊娠1例。结论:中医辨病辨证结合的周期疗法加小剂量阿司匹林治疗慢性盆腔炎合并免疫性不孕症有一定的疗效。

Objective: To explore the clinical effect of treatment according to syndrome differentiation for chronic pelvic inflammation complicated with immunologic sterility (CPIS). Methods: 18 cases of CPISfserum antisperm antibody positive) were treated according to Syndrome differentiation. The therapy for activating blood circulation, removing blood - stasis, regulating qi and eliminating damp was applied after menstruation; the principles for invigorating the kidney, nourishing blood, activating blood circulation and removing blood -stasis during and after ovulation; that for regulating qi, activating blood circulation and regulating mestruation in premenstrual period; and small dosage of aspirin was added after menstruation to premenstrual Period. Results: The clinical symptoms and signs of pelvic inflammation were cured in 7 cases and improved in 11 cases. All 18 cases were pregnant, in which 17 cases were normal uterine pregnancy and 1 case oviducal pregnancy. Conclusion: The treatment according to syndrome differentiation added with small dosage of aspirin possesses a certain effect for CPIS.