王小云教授治疗子宫内膜容受性降低的经验总结-香港中医杂志HK.PDF

王小雲教授治療子宮內膜容受性降低的經驗總 結 Summary of Professor Wang Xiaoyun’s experience in the treatment of reduced endometrial receptiveness 1 2 1＊ 盧興宏 ，曹曉靜 ，王小雲 LU Xinghong, CAO Xiaojing, WANG Xiaoyun （1.廣東省中醫院 ；2.廣州中醫藥大學第二臨床醫學院 ；＊通訊作者） Email: jiaoshouw@163.com 博士生導師王小雲教授，是廣州中醫藥大學第二臨床醫學院大婦科主任醫師、婦科教研室 主任，全國第五批老中醫藥專家學術經驗繼承工作及學位指導老師，廣東省名中醫，在治療婦科 領域疑難雜症方面造詣頗深，現已接診了大量接受IVF後失敗而要求中醫藥調治的患者，根據其 多年的臨床經驗，結合育齡期女性的生理病理特點，認為子宮內膜容受性低的主要病機是以虛為 本，兼雜肝鬱血瘀。 [摘要] 子宮內膜容受性降低屬疑難雜病，病程多纏綿，病機複雜，治療棘手。尤其在IVF治療中 部分患者因子宮內膜容受性不足而不能進行胚胎移植，給患者造成經濟及精神方面的重大壓力。 為增加子宮內膜容受性降低患者的胚胎移植機會及提高妊娠率，故對王小雲教授治療子宮內膜容 受性降低的經驗進行總結。王小雲教授認為，腎虛，沖任血虛或受阻，不養胞宮是子宮內膜容受 性降低的核心病機，治療重在增強子宮黏附能力，改善內膜容受性，使胚胎、內膜同步增長，穩 固胚胎着牀。 [關鍵詞] 子宮內膜容受性降低；王小雲；經驗總結 ’ Professor Wang Xiaoyun s Experience in treatment of endometrial receptivity reduction Lu Xinghong1, Cao Xiaojing2, Wang Xiaoyun1 (1.Guang dong hospital of TCM, Guangzhou 510120 2.China Second Clinical Medical College, Guangzhou University of Chinese Medicine, Guangzhou 510120, China) Abstract: Endometrial receptivity reduction are incurable diseases, duration and more lingering for years, the complex pathogenesis, treatment difficult. Some patients, especially in IVF treatment due to lack of endometrial receptivity and con’s be embryo transfer, to patients with significant economic pressure and mental aspects. To increase endometrial receptivity to reduce the patient’s chance of embryo transfer and improve the pregnancy rate, so the Professor Wang Xiaoyun treatment reduces endometrial receptivity experience summary. Professor Wang Xiaoyun believe, kidney weakness, blood deficiency or blocked, do not raise the uterus is reduced endometrial receptivity core pathogenesis, treatment focuses on enhancing the uterus adhesion