Gynecology Department

The Department of Gynecology of the First Affiliated Hospital of Tianjin University of Chinese Medicine has two national-level studios (Nationally Famous Traditional Chinese Medicine Experts Inheritance Studio, and one of the top ten schools in the country - Tianjin Harder School of Gynecology Inheritance Studio). Among them, the Harder School of Gynecology Inheritance Studio is an intangible cultural heritage of Tianjin. In 2012, it was approved as a designated hospital for the China Cervical Cancer Prevention and Treatment Project, and in 2019, it was rated as the Tianjin Regional Guidance Center for Reproductive Health Diagnosis and Treatment Service Capacity. It is a discipline integrating traditional Chinese and Western medicine that integrates medical care, scientific research, and teaching. The department has the most advanced examination equipment in the country: vaginal microecological testing equipment, Doppler color ultrasound, hysteroscopy, colposcopy, etc.; the department gives full play to the advantages of traditional Chinese medicine diagnosis and treatment and opens outpatient clinics for ovarian hypofunction, polycystic ovary syndrome, dysmenorrhea, menopausal syndrome, and family planning. ; The department has 2 instructors who are "Nationally Famous Physicians and Apprentices", 2 nationally outstanding clinical talents of Chinese medicine, 1 famous Chinese medicine practitioner in Tianjin, 1 veteran Chinese medicine expert in Tianjin, 2 inheritors of the academic experience of national veteran Chinese medicine experts, and 2 inheritors of the academic experience of veteran Chinese medicine experts in Tianjin. There are 1 doctoral supervisor, 5 master's supervisors, 4 PhDs and 16 masters.The gynecological clinic and ward are well-equipped, and the scope of diagnosis and treatment can cover common, frequently-occurring and difficult gynecological diseases such as menstruation, pregnancy, pregnancy, childbirth and miscellaneous diseases. 1. Menstrual diseases: polycystic ovary syndrome, ovarian hypofunction, dysmenorrhea, abnormal uterine bleeding, menopausal syndrome, etc. 2. Vaginal diseases: such as bacterial vaginosis, vulvovaginal candidiasis, trichomonal vaginitis, senile vaginitis, non-specific vaginitis, HPV infection, cervical lesions, etc. 3. Pregnancy diseases: such as threatened abortion, recurrent miscarriage, hyperemesis gravidarum, ectopic pregnancy, etc. 4. Postpartum diseases: such as postpartum lactation, postpartum abdominal pain, postpartum body pain, postpartum lochia, postpartum spontaneous sweating and night sweats, etc. 5. Miscellaneous diseases: Such as uterine fibroids, ovarian cysts, endometriosis, pelvic inflammatory disease, infertility, etc. 6. Family planning: Various types of ring insertion and removal surgeries, early pregnancy abortion surgeries, and post-operative TCM care can be carried out. Featured technology therapy 1. Vaginal ultrasound technology Vaginal ultrasound is an ultrasound examination performed by inserting an ultrasound probe into the vagina. Because the probe is located close to the uterus and ovaries, the images are clear and high-resolution, and the inspection results are more accurate. Moreover, there is no need to hold in urine, which is relatively time-saving and the patient feels better.Before the vaginal ultrasound examination, all examiners need to empty their urine and try to empty their stools as much as possible. 2. Vaginal microecology detection technology The vaginal microecology is an ecosystem composed of vaginal microbiota, the host's endocrine system, vaginal anatomy and the vaginal local immune system. In layman's terms, it is the "world of the vagina". The main common microorganisms in the vagina include Lactobacillus, Staphylococcus, Streptococcus, Bacillus fragilis, Escherichia coli, Candida, Gardnerella vaginalis, etc. The vaginal microecological detection system detects vaginal secretions (commonly known as "leucorrhea") and can diagnose inflammation of the female reproductive system, mainly including morphological testing and functional testing. The former includes morphological indicators such as bacterial density, diversity, dominant bacteria, pathogens, Nugent score, cleanliness, etc.; the latter determines the functional status of microorganisms through functional testing, mainly measuring the metabolites and enzyme activity of vaginal microorganisms. 3. Colposcopy technology is an important means of cervical cancer screening. Colposcopy can magnify the observed cervical image 10-60 times and detect tiny lesions that cannot be detected by the naked eye.With this magnification effect, doctors can clearly see the extremely tiny details of lesions on the epidermis of the cervix and genitals, and diagnose cervical lesions early. 4. Minimally invasive surgery Minimally invasive surgery is a treatment method advocated by modern therapeutics. Its concept is to maintain the body's best internal environment stability, minimal tissue and organ damage, the lightest inflammatory response, the most ideal scar healing, and the best medical effect during the medical intervention process. 1. Laparoscopic surgery to carry out various types of benign and malignant gynecological diseases. Such as: laparoscopic ovarian tumor resection, laparoscopic myomectomy, laparoscopic total hysterectomy, laparoscopic ectopic pregnancy related surgeries. 2. Hysteroscopic surgery is carried out for various types of hysteroscopic diagnosis and surgical treatment. Such as: hysteroscopy, hysteroscopic diagnostic dilation and curettage, hysteroscopic uterine foreign body removal, hysteroscopic endometrial polypectomy, hysteroscopic submucosal myomectomy, hysteroscopic septal resection, hysteroscopic endometrial resection, hysteroscopic exploration of intrauterine factors for unexplained infertility, etc. 3. Combined uterine and laparoscopic surgeryThrough a combination of hysteroscopy and laparoscopy, we can treat infertility caused by fallopian tube adhesion, hydrops, and obstruction, as well as surgical treatment of uterine submucosal fibroids, endometrial polyps, intrauterine adhesions, and uterine septum that affect fertility. 5. Traditional laparotomy. Depending on the patient’s condition, various traditional laparotomy surgeries can be performed for various benign and malignant gynecological diseases. 6. Family planning surgery has a day surgery ward for early pregnancy abortion, and provides postoperative TCM care and post-abortion care projects. 7. Cervical Lesion Treatment Based on the grade of the patient’s cervical lesions, cervical ablation, LEEP, cold knife conization and other surgeries are performed. Special disease introduction 1. Decreased ovarian reserve function Decreased ovarian reserve function mainly manifests as late menstruation, oligomenorrhea, amenorrhea and even infertility, which seriously threatens female reproductive health. Based on the basic theory of traditional Chinese medicine and summarizing many years of clinical practice of the Harder School of Gynecology, "nourishing water and absorbing wood" is the basic rule. According to the characteristic that the pathogenesis of ovarian hypofunction is mainly liver and kidney yin deficiency and Chong-ren imbalance, the liver and kidney nourishing method is used to treat ovarian hypofunction. The clinical treatment principle is to nourish the liver and kidneys, nourish yin and nourish yang, regulate Chong and Ren, regulate qi and nourish blood, and summarized the "Hashi Yuyin Decoction", which has remarkable curative effect. 2. Polycystic ovary syndromePolycystic ovary syndrome not only presents with reproductive abnormalities but is also accompanied by typical metabolic disorders. As a dominant gynecological disease, a standardized diagnosis and treatment plan has been formed. Based on the individual differences of patients, the department combines nutrition, endocrinology, gynecology and other fields to establish interdisciplinary collaboration. It has now launched the "Polycystic Ovary Syndrome Joint Clinic" to provide patients with multi-faceted medical services from lifestyle adjustments to drug treatment. Based on the clinical experience of several generations of Ha's descendants, and guided by "tonifying the kidney, strengthening the spleen and reducing phlegm", a patented formula - "Har's' Recipe for Nourishing the Kidney and Removing Phlegm" was developed, which can significantly improve metabolism, menstruation and fertility of patients. 3. The symptoms of menopausal syndrome are mostly hot flashes and night sweats, irritability, insomnia and forgetfulness, or menstrual disorders. The gynecology team took "deficiency of kidney essence and dysfunction of the brain and kidneys" as the main pathogenesis, used regulating the spirit and nourishing the kidney as the acupuncture treatment principle, and selected acupuncture points Fengfu, Baihui, Qihai, and Shenshu, highlighting the formula idea of ​​"regulating the spirit, nourishing the kidney essence, and communicating with the brain and kidneys", and achieved remarkable results in the treatment of female menopausal syndrome. 4. DysmenorrheaDysmenorrhea is a dominant disease in the Harder School of Gynecology. In terms of treatment, it is based on the theory of "no pain if there is no pain, and pain if there is no pain". We should focus on the word "blockage" and combine the deficiency, excess, cold and heat of the syndrome to establish the "four treatments for dysmenorrhea": either warm it and clear it, or clear it and clear it, or tonify it and clear it, or it can clear it. The clinical effect is remarkable. 5. Threatened abortion: Threatened abortion mainly manifests as a small amount of vaginal bleeding after pregnancy, or accompanied by symptoms such as lower abdominal pain and backache. The causes include embryonic factors, maternal factors, paternal factors and environmental factors. Maternal factors are often caused by systemic diseases, reproductive organ abnormalities, endocrine abnormalities, bad habits, immune dysfunction and other reasons. The Department of Gynecology has accumulated decades of experience in miscarriage. The ward has a miscarriage ward. The inheritors of Ha's gynecology department regularly conduct ward rounds and combine syndrome differentiation and disease differentiation to formulate individualized Chinese medicine treatment plans for patients. Various trace elements in Chinese medicine can not only supplement the trace elements necessary for the human body, but also regulate the body's absorption of trace elements, especially the endocrine regulation function.For most threatened abortions caused by insufficient endocrine function, physical constitution, immunity, etc., it can relieve symptoms, enhance physical fitness, improve the pelvic environment, promote blood and oxygen supply to the uterus and embryos, help the implantation and development of embryos, and achieve the purpose of fetal preservation and eugenics. 6. The family planning department is equipped with a family planning specialty clinic and an operating room. It is responsible for various examinations, treatments, and contraceptive guidance for family planning, and carries out various family planning surgeries, such as superconducting visual painless abortion, medical abortion, insertion, removal, and hysteroscopic removal of the ring. It also provides post-abortion care services, distributes free contraceptives, provides post-abortion contraceptive guidance to patients, and pays attention to the reproductive health of women.