从痰瘀论治宫腔粘连

Treatment of Intrauterine Adhesions from Phlegm and Blood Stasis Theory

宫腔粘连是指子宫内膜基底层损伤后,纤维结缔组织形成粘连,从而引起宫颈管、子宫腔部分或全部闭锁的疾病,临床上以月经过少、痛经、闭经、反复流产、不孕等为主要表现。目前西医治疗以宫腔镜下宫腔粘连分离术为主,术后联合雌激素等,但疗效欠佳。通过梳理中医治疗宫腔粘连的相关文献,探讨痰瘀在宫腔粘连发病过程中的重要作用,总结补肾化痰祛瘀的治疗原则及相应的内外治法,为中医临床对该病的治疗提供思路。Intrauterine adhesion refers to a disease in which fibrous connective tissue forms adhesion after the basal layer of the endometrium is damaged, causing partial or complete atresia of cervical canal and uterine cavity. Clinically, it is characterized by oligomenorrhea, dysmenorrhea, amenorrhea, recurrent miscarriage, and infertility, etc. as the main performance. At present, the treatment in clinical medicine mainly focuses on hysteroscopic uterine adhesion separation, combined with estrogen after surgery, but the curative effect is not good. By sorting out the relevant literature on the treatment of intrauterine adhesions with traditional Chinese medicine, we explore the important role of phlegm and blood stasis in the pathogenesis of intrauterine adhesions, and summarize the treatment principles of tonifying the kidney, dissipating phlegm and blood stasis and the corresponding internal and external treatment methods, and provide ideas for the clinical treatment of this disease with traditional Chinese medicine.