从“肾虚血瘀”论治子宫内膜异位症并发不孕

Infertility Caused by Endometriosis Treated with Theory of Kidney Deficiency and Blood Stasis

子宫内膜异位症(EMS)是妇科难治病、多发病,该病多并发不孕,中医认为肾虚血瘀是该病并发不孕的病机。现代西医认为异位内膜种植学说是本病的发病机制之一,血管生成是本病的重要特征,也是本病并发不孕的重要原因。导师在体现活血化瘀治法的中成药在妇科临床和实验研究证实活血化瘀治法对EMS有效的基础上运用补肾活血化瘀治疗EMS并发不孕患者取得显著临床疗效,妊娠率显著增加。故认为肾虚血瘀是EMS并发不孕的主要病因病机,也是EMS并发不孕的主要病理基础,从"肾虚血瘀"论治EMS并发不孕值得从临床和实验研究两方面深入探讨。

EMS is incurable and frequently-occurring disease, the disease is often accompanied by infertility, the deficiency of kidney and blood stasis is one of the basic pathogenesis of infertility caused by endometriosis in TCM, ectopic endometrium cultivation theory is one of the pathogenesis in western medicine, Angiogenesis is an important characteristic of the disease, angiogenesis is also the important reason of infertility. Tutor use nourishing the kidney and activating blood to remove stasis to treat the infertility caused by endometriosis achieved significant clinical effects on the basis of gynecological clinical and experimental study confirmed that nourishing the kidney and activating blood to remove stasis to treat endometriosis achieved effects. So tutor thinks that the deficiency of kidney and blood stasis is not only the main pathogenesis but also the main pathological basis of infertility caused by endometriosis,, From the deficiency of kidney and blood stasis to treat the infertility caused by endometriosis deserves further study.