基于脏腑辩证治疗青春期女孩的完全纵膈子宫个案报道

Case Report of Complete Septate Uterus Based on Zang-Fu Syndrome Differentiation Treatment of Adolescent Girls

摘要: 纵隔子宫作为最常见的子宫畸形，因妊娠期并发症给母婴造成不同程度的影响。宫腹腔镜作为目前纵隔子宫检查和治疗的金指标，存在一定的利弊。本临床案例为一例青春期女孩经直肠B超确诊纵膈子宫，以肾气–天癸–冲任–胞宫生殖轴为治疗理论，确认核心病机为气郁血虚、血行不畅、脾虚湿阻，肝脾肾立论辩证，重视精气血同补治疗。滋补肾精、养血调肝、健脾益气组中药方治疗3月，复查腹部B超未见子宫纵隔，以期为中医药治疗纵膈子宫提供理论和方法参考。

Abstract: The septate uterus, as the most common uterus malformation, has different effects on mother and child due to pregnancy complications. As the gold index of septate uterine examination and treatment, uterine laparoscopy has some advantages and disadvantages. This clinical case is a case of an adolescent girl diagnosed with septate uterus by rectal B ultrasound, with the kidney qi-tiangui-chongren-uterus reproductive axis as the treatment theory, the core pathogenesis is qi depression and blood deficiency, blood obstruction, spleen deficiency, liver, spleen and kidney obstruction, and pay attention to the treatment of fine qi and blood. The prescription of nourishing kidney essence, nourishing blood and regulating liver, invigorating spleen and invigorating qi group was treated for 3 months. The abdominal B ultrasound showed no uterine mediastinum, in order to provide theoretical and method reference for the treatment of septate uterus by traditional Chinese medicine.