純中藥治療雙側輸卵管阻塞病例報告

Chinese herbal medicine treatment for bilateral tubal occlusion

10.6718/TJCM.202403_30(1).0011

李耿誠(Keng Cheng Lee)；鄒一賢(Yi HSien Chou)

輸卵管阻塞 ； 不孕 ； 病例報告 ； Scalp acupuncture ； Ischemic stroke ； Hemorrhagic stroke ； Blood flow to the brain

台北市中醫醫學雜誌

30卷1期（2024 / 03 / 17）

97 - 102

繁體中文;英文

大約25-35%的女性不孕症與輸卵管因素有關。患者可能因為陰道分泌物增加、不正常出血、少腹墜脹疼痛等症狀察覺異常而就診，但大部分患者不會有明顯的症狀。本病例描寫一位27歲女性，備孕三年，直到西醫做子宮輸卵管攝影後，才診斷得知雙側輸卵管阻塞。此患者常居美國，感染了結核菌，服用抗結核菌藥物INH 9個月，現已停藥超過6個月。西醫建議做試管嬰兒，體外受精，避開已阻塞部份，為了避免影響胚胎著床，且需切除已水腫的部份輸卵管。患者認為台灣試管嬰兒的技術成熟，返台進行手術，做之前先找中醫治療。純中藥調理3個月，即自然懷孕。

About 25-35% of subfertility in women concerns the tubal factor. Patients may seek medical treatment due to increased blennorrhea, dysfunctional uterine bleeding, lower abdominal pain, and so on. But most FTO Patients have no specific symptom to feel. This case is about an 27-year-old female, trying to conceive for three years. That doesn't work until she had a hysterosalpingogram (HSG) test, and bilateral tubal occlusion (BTO) be diagnosed. This patient used to live in USA, got infected with tuberculosis bacteria, and took INH for nine months. Then she stopped INH for more than six months. The gynecologist advice for in vitro fertilization (IVF), bypass the block part, and removal of part of fallopian tube with fluid retention. The patient thinks that IVF technology in Taiwan is also good, So she come back to this island. Before IVF, she received Chinese herbal medicine only. Then she successfully conceived Three months later and no longer need IVF.