中西醫合作治療葡萄胎病例

Clinical Case a Cooperation of Traditional Chinese and Western Medicine to Treat the Hydatidiform Mole

王麗香 ； 林高士 ； 林健蓉 ； 黃怡嘉 ； 蔡運寧

《中醫婦科醫學雜誌》 12期 (2009/06) Pp. 46-51

https://doi.org/10.30030/JTCGM.200906.0011

摘要

葡萄胎是一種不正常的妊娠組織生長，子宮清除手術之後，需顧及術後的血虛血瘀體質又需預防惡性絨毛膜疾病，如何攻補兼施達到體質恢復且避免讓其絨毛耳其細胞再轉移至它處為中醫輔助治療之目標。由於東南亞葡萄胎病人發生率較其它地區高出五至十倍，約每千個孕婦就有十三位病例報導，故將此病人之治療過程提出與同儕分享討論：此29歲女性懷孕四適合併不正常出血且下腹悶痛，超音波檢查發現為葡萄胎，立即實施子宮刮除術後，beta-HCG數值還在正常範圍，無濕熱瘀毒之症，故用一般產後補血祛瘀治療，之後施打Methotrexate預防惡性絨毛膜疾病導致病人衛氣不足，故併發外感之症，以補陽解表法治療，之後陸續追蹤至今，目前無併發惡性絨毛膜疾病。

關鍵字

葡萄胎 ； 中藥

並列摘要

Hydatidiform mole is a kind of abnormal pregnant tissue growth, after it's removal operation in the uterus, one must consider postoperative blood deficiency blood silt physique into account and also to prevent malignant chorion disease. How to Attack-and-tonify at the same time to help patient recover and also prevent the chorionic cells to migrate is the helping treatment goal of Chinese medicine. Because the incidence rate of this disease in south-east Asia is 5-10 times higher, about 13 pregnant women per thousand in clinical reports, this patient's treatment process is being published and shared: Patient is 29 years of age, pregnant for 4 weeks combined with abnormal bleeding and lower abdomen dull pain, sonar results confirmed hydatidiform mole. After immediate uterine curettage, beta-HCG value is still within normal level, no signs of damp-heat and stasis, therefore, to prevent malignant chorion disease, Methotrexate is administered. This lead to patient's ”Wei-qi” deficiency and disease caused by exterior factors (common colds and flu's). Used ”Bu-yang-jie-biao” (tonify yang and relieve surface) as treatment method. Follow-up's conducted till present, found no sign of malignant chorion disease complication.

並列關鍵字

Hydatidiform mole ； traditional Chinese medicine