中西医防治人工流产术后宫腔黏连的研究进展

Progress on the prevention and treatment of intrauterine adhesion induced by artificial abortion operation with traditional Chinese and Western medicine

人工流产术后宫腔黏连以肾虚血瘀为基本病机,肾虚为本,血瘀为标,属本虚标实之证。中医治疗本病的方法主要为内、外治法,包括辨证分型治疗、专方治疗、中药外敷、保留灌肠及综合疗法。目前西医对于本病的发病机制尚不明确,主要通过药物治疗、放置宫内介质等方法治疗。单用中医或西医治疗本病均有其局限性,中西医结合对治疗人工流产术后宫腔黏连有明显优势,能缩短疗程,取长补短,减少不良反应。

Renal deficiency and blood stasis are the basic pathogenesis of intrauterine adhesion induced by artificial abortion operation. As renal deficiency is the reason and blood stasis is the outer phenomenon, it is a disease with deficiency in origin and enrichment in symptom. TCM mainly uses internal treatment and external treatment to treat this disease, including treat- ment based on syndrome differentiation, exclusive prescription, external application of Chinese medicine, retention enema and comprehensive treatment; while Western medicine is not clear about the pathogenesis of this disease at the moment, and mainly uses drugs and methods like placing intrauterine medium to treat this disease. There are limitations if you use TCM or Western medicine singly. Combined TCM with Western medicine, it has obvious advantages to treat the disease like this, which can shorten the course of treatment, make good for deficiency, and reduce the adverse reactions.