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抗磷脂综合征所致复发性流产的诊治进展
引用本文:李心悦,王琳,褚蕴,赵宏利.抗磷脂综合征所致复发性流产的诊治进展[J].中国现代医生,2022,60(2):192-196.
作者姓名:李心悦  王琳  褚蕴  赵宏利
作者单位:浙江中医药大学第三临床医学院,浙江杭州 310053;浙江中医药大学附属杭州市中医院中医妇科,浙江杭州 310007
基金项目:浙江省中医药科技计划项目(2017ZA105)。
摘    要:复发性流产是育龄期女性一种常见疾病,近年来发病率逐渐上升,引起复发性流产的原因复杂,在已知病因中,抗磷脂综合征是最常见的病因之一,并被认为是最重要的可治疗病因.目前抗磷脂综合征导致的复发性流产已成为生殖医学研究的热点及难点,随着对实验室诊断以外的抗磷脂抗体的不断研究和发掘,有必要增加新的诊断标准以避免漏诊.临床上治疗抗...

关 键 词:抗磷脂综合征  抗磷脂抗体  复发性流产  综述
收稿时间:2021/2/22 0:00:00

Progress in the diagnosis and treatment of recurrent miscarriage caused by antiphospholipid syndrome
Authors:LI Xinyue  WANG Lin  CHU Yun  ZHAO Hongli
Institution:The Third School of Clinical Medicine, Zhejiang Chinese Medical University, Hangzhou 310053, China;Department of Chinese Gynecology, Hangzhou Hospital of Traditional Chinese Medicine Affiliated to Zhejiang University of Traditional Chinese Medicine, Hangzhou 310007, China
Abstract:Recurrent miscarriage is a common disease in women of childbearing age, and its incidence has gradually increased in recent years. The causes of recurrent miscarriage are complex, and in the known etiologies, antiphospholipid syndrome is one of the most common causes and is considered to be the most important treatable cause. Currently, recurrent miscarriage caused by antiphospholipid syndrome has become a hot spot and a difficult point in the study of reproductive medicine. With the continuous study and discovery of antiphospholipid antibodies other than laboratory diagnosis, it is necessary to add new diagnostic criteria to avoid the occurrence of missed diagnosis. Antiplatelet, anticoagulation and immunomodulatory therapies are the mainly treatment methods used for the clinical treatment of recurrent miscarriage caused by antiphospholipid syndrome, but there are certain risks. In the field of traditional Chinese medicine (TCM), based on the concept of syndrome differentiation and treatment, the guideline of tonifying the kidney and activating blood is used to improve the overall or local immunity. Since TCM and Western medicine have their own advantages, the article will summarize the diagnosis and the progress of TCM and Western medicine treatment for recurrent miscarriage caused by antiphospholipid syndrome, with the aim to provide new ideas and solutions for clinical diagnosis and treatment.
Keywords:Antiphospholipid syndrome  Antiphospholipid antibody  Recurrent miscarriage  Review
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