中医药防治子宫内膜异位症术后复发的临床研究进展

Clinical Research Progress of Traditional Chinese Medicine in the Prevention and Treatment of Postoperative Recurrence of Endometriosis

子宫内膜异位症(endometriosis,EMS)在育龄期妇女中常见,是妇科领域中的疑难病。目前西医治疗方案主要有手术及激素药物疗法,但术后复发率高、药物不良反应较大,且多种症状难以得到改善,故使得EMS在治疗及术后管理上颇为棘手。作者通过搜集整理近年来EMS术后中医药治疗的相关文献,发现中医药在降低术后复发率、改善不良反应、提高妊娠率、缓解痛经等方面疗效显著。文章将从病因病机、内治法、外治法等方面总结目前中医药防治EMS术后复发的临床研究进展,以期改善EMS患者术后生存质量,从而为EMS进一步研究及治疗提供参考。

Endometriosis(EMS)is common in childbearing age women,is in the field of department of gynaecology venereology.At present,mainly Western medicine treatment include surgery and hormone treatment drugs,but the postoperative recurrence rate is high,the adverse drug reactions is bigger,and a variety of symptoms is difficult to improve,which makes the EMS is very thorny on treatment and postoperative management.The author through the collection of EMS postoperative treatment of traditional Chinese medicine literature in recent years,found to reduce the postoperative recurrence rate and improve the adverse reactions of traditional Chinese medicine and improve pregnancy rate,alleviate dysmenorrhea curative effect is remarkable.This article from the etiology and pathogenesis,TCM external treatment,etc,to summarize,traditional Chinese medicine to prevent and treat the post-operation relapse and clinical research progress of endometriosis,in order to improve the quality of life postoperatively in patients with EMS,which provide reference for further study on the EMS and the treatment.