不孕症的治疗进展及临床探讨.pdfVIP

中文 摘 要 本文从文献综述与临床探讨两个方面讨论了无排卵、黄体功能不全、输卵 管阻塞及抗精子抗体 (AsAb)所致不孕症的治疗。 综述部分:从辨证论治、中药人工周期疗法及中西医结合等方面概述了无 排卵及黄体功能不全所致不孕的治疗;从内治法、外治法及内治外治相结合等 方面概述了输卵管阻塞性不孕的治疗;从西医和中医两方面概述了抗精子抗体 所致免疫性不孕的治疗，西医治疗包括局部隔绝法、免疫抑制剂疗法及辅助生 殖技术 (ART)，中医治疗包括辨证论治、专方专药、局部用药等。结论:补 肾为主人工周期疗法与西药相结合是治疗无排卵性不孕的w子方法;补肾疏肝 与调周相结合，并辅以心理疏导是治疗黄体不健性不孕的较好方法;输卵管阻 塞宜内治与外治相结合:中医药及ARI，是AsAb所致不孕的较好治疗方法。 临床探讨部分:通过自己的临床实践，以辨病与辨证相结合，对排卵功能 障碍性不孕，输卵管阻塞性不孕及免疫性不孕的治疗进行了探讨，并讨论了肝 郁在不孕症发病与治疗中的作用。认为不孕症的治疗宜采用辨病与辨证相结 合、补肾与调肝相结合，宏观辨证与微观辨证相结合及中西医相结合。 /入 美橄饲:不孕症 无排卵 黄体功能不全 输卵管阻塞 抗精子 抗体 抽疗 k,M I,床探讨)/- Abstract Inthisessaywestudythetreatmentofinfertilitycausedbyanovulation, Lutealphasedefect(LPD),oviductobstructionandantispermantibody(AsAb)rfom twosidesofrecapitulateandclinicalresearch. Inthefastpart,thetreatmentsofanovulationandLPDwererecapitulatedinthe aspectsoftreatmentbasedondifferentiation,TraditionalChinesemedicine(TC娜 artificialcyclictherapyandthetherapyofcombiningtraditionalChineseandwestern medicine.Werecapitulatedthetreatment叮oviductobstructionfrom oral administrationofmedicineandexternaltreatment,andthetherapyofinfertilitywith AsAbrfomwesternmedicineandTCM.Thetreatmentsofwesternmedicineinclude condom,immunosuppressivetherapyandassistedreproductivetechnology(ARD， andthetreatmentsofTCMincludethetratmentbasedondifferentiation,thespecial prescriptionforthediseaseandsoon.Conclusions:Itisthebettertherapyof anovulatoryinfertilitytocombinecyclictherapyoftonifyingKidney,withwestern medicine.ThebettertherapyofLPDisintegrationtonifyingKidneyandsootheLiver intopsychologicalregulationTreatingoviductobstructionshouldcombineoral administrationofmedicinewithexternaltreatment.TCMandARTcanbeusedto treattheinfertilityofAsAb. Inthesecondpart,westudythetreatmentofinfertilitycausedbytheobstacleof ovulation,oviductobstructionandimmunologybycombiningdifferentialdiagnosis ofdise