61例子宫肌瘤患者的甲皱微循环检查分析

作者	单位
赵惠芳	上海第二医科大学中医教研室
曾真	瑞金医院中医妇科
吴兆洪	瑞金医院中医妇科
丁钰熊	上海第二医科大学中医教研室
徐建中	上海第二医科大学中医教研室
龙楚瑜	上海第二医科大学中医教研室
刘德傅	瑞金医院中医妇科
陈惠琳	瑞金医院中医妇科

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中文摘要:

本文通过61例子宫肌瘤患者甲皱微循环9项指标观察,其中6项均有明显异常,证实微循环障碍是子宫肌瘤病变过程中的一个重要病理变化。因此,以上检查可作为子宫肌瘤血瘀证及活血化瘀治疗的一项观察指标。本文亦分析了出现微循环异常的机理,并就甲皱微循环异常出现率有关若干因素进行了讨论。

英文摘要:

According to recent reports,blood stasis,syndrome was relevant to disturbance of nailfold microcirculation.This paper reports the 9 indices of the changes of nailfold capillary bed in 61 cases with uterine myoma.6 indices appeared markedly abnormal.Among them,the rate of abnormal capillary loops occurred more than 30% in all the patients.96.7% of the outline of the capillary loops appeared blurred. 91.8% of the nailfold capillary beds were in disorder.The color was abnormal in 98.3%.Arid in 83.6% of the cases,there was blood stasis in the tips of the capillary loops.Also in 73.7% the speed of the capillary blood flow slowed down.All these proved that the above mentioned disorders of nailfold microcirculation were one of the important pathologic changes in the course of uterine myoma.Therefore the nailfold microcirculation examination should be considered as an observation parameter of blood stasis in uterine myoma and a criterion of promoting the blood circulation and relieving the stasis.In addition we compared the relationship of the nailfold microcirculation change to the patients’ quality and quantity of menstruation, their age and the size of myoma before and after treatment.Finally the mechanism of appearance of nailfold microcirculation abnormalities was analysed,the explanation on the cause of no obvious improvement om 16 patients’ nailfold microcirculation during follow-up was explored,and some factors relevant to the rate of appearance of abnormal nailfold microcirculation were discussed.

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