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赵惠芳,曾真,吴兆洪,丁钰熊,徐建中,龙楚瑜,刘德傅,陈惠琳.61例子宫肌瘤患者的甲皱微循环检查分析[J].,1987,(2):86-88,69
61例子宫肌瘤患者的甲皱微循环检查分析
Observation and Analysis of Nailfold Microcirculation in 61 Cases of Uterine Myoma
  
DOI:
中文关键词:  子宫肌瘤  甲皱微循环  毛细血管  患者年龄  观察指标  病理变化  微循环障碍  血红蛋白  宫体  活血
英文关键词:
基金项目:
Author NameAffiliation
Zhao Huifang 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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