Research Progress on the Treatment of Endometriosis with Traditional Chinese and Western Medicine

姗 朱
In: Advances in Clinical Medicine · 2018 · vol. 08(01) , pp. 73–78 · doi:10.12677/acm.2018.81014 · W2790965704
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This paper comprehensively reviews recent Western and Chinese medicine treatments for endometriosis, a common gynecological disease with unclear mechanisms and limited curative options.

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This review article synthesizes current research on the management of endometriosis using both Western and Traditional Chinese Medicine approaches. The authors note that while endometriosis causes significant symptoms like pelvic pain and dysmenorrhea, its pathogenesis remains unclear and it is difficult to cure definitively. The paper highlights that Western medical treatments often involve high drug dosages with multiple side effects, whereas Chinese medicine therapies typically require longer treatment courses with slower onset of action. This paper is centrally about endometriosis — specifically a comprehensive review of combined traditional Chinese and Western medicine treatment strategies for the condition.

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Abstract

子宫内膜异位症是妇科疾病的常见病，其具体发病机制与病机并不十分清楚。子宫内膜异位症主要引起下腹盆腔疼痛、月经增多、痛经、性交不适以及月经异常等。关于子宫内膜异位症的治疗目前并未有明确的治疗方案，且难以治愈，西医治疗对与子宫内膜异位症的治疗药物剂量大、副作用多，而中医治疗则疗程长、起效慢，本文即将目前中西医对于子宫内膜异位症的治疗方案作一综合性叙述。 Endometriosis is a common disease of gynecological diseases; the pathogenesis and mechanism are not very clear. The main symptoms are pelvic pain, menorrhagia, dysmenorrhea, sexual discomfort and abnormal menstruation. It is intractable and no definite treatment for currently. Western medicine treatment exists large dosage of drugs with side effect; meanwhile Chinese medicine is long course of treatment and slow effect. This paper reviews the recent Western and Chinese medicine treatment for endometriosis comprehensively.
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中西医治疗子宫内膜异位症研究进展 Research Progress on the Treatment of Endometriosis with Traditional Chinese and Western Medicine Research Progress on the Treatment of Endometriosis with Traditional Chinese and Western Medicine DOI: 10.12677/ACM.2018.81014, PDF, 被引量 科研立项经费支持 作者: 朱 姗, 付金荣*：上海中医药大学附属龙华医院，上海 关键词: 子宫内膜异位症；中西医治疗；研究进展；Endometriosis； Traditional Chinese and Western Medicine； Research Progress 作者: 朱 姗, 付金荣*：上海中医药大学附属龙华医院，上海 关键词: 子宫内膜异位症；中西医治疗；研究进展；Endometriosis； Traditional Chinese and Western Medicine； Research Progress 摘要: 子宫内膜异位症是妇科疾病的常见病，其具体发病机制与病机并不十分清楚。子宫内膜异位症主要引起下腹盆腔疼痛、月经增多、痛经、性交不适以及月经异常等。关于子宫内膜异位症的治疗目前并未有明确的治疗方案，且难以治愈，西医治疗对与子宫内膜异位症的治疗药物剂量大、副作用多，而中医治疗则疗程长、起效慢，本文即将目前中西医对于子宫内膜异位症的治疗方案作一综合性叙述。 Abstract: Endometriosis is a common disease of gynecological diseases; the pathogenesis and mechanism are not very clear. The main symptoms are pelvic pain, menorrhagia, dysmenorrhea, sexual discomfort and abnormal menstruation. It is intractable and no definite treatment for currently. Western medicine treatment exists large dosage of drugs with side effect; meanwhile Chinese medicine is long course of treatment and slow effect. This paper reviews the recent Western and Chinese medicine treatment for endometriosis comprehensively. 文章引用：朱姗, 付金荣. 中西医治疗子宫内膜异位症研究进展[J]. 临床医学进展, 2018, 8(1): 73-78. https://doi.org/10.12677/ACM.2018.81014 | [1] | 孟维杰, 胡莎, 李亚, 等. 腹腔镜术后联合GnRHa治疗子宫内膜异位症伴不孕患者的妊娠结局分析[J]. 四川大学学报: 医学版, 2014, 45(2): 342-344. | | [2] | 雷桂英, 陈伟. 综合疗法治疗子宫内膜异位症96例[J]. 中国中医药现代远程教育, 2011(8): 50-51. | | [3] | 罗香花. 中西医结合疗法在子宫内膜异位症的效果观察与分析[J]. 中国临床研究, 2011, 3(13): 97-98. | | [4] | 蔡竞侯, 秀环. 中西医结合治疗子宫内膜异位症痛经的临床观察[J]. 实用中西医结合临床, 2012, 12(1): 52-53, 79. | | [5] | America Fertility Sociiety (2005) Revised American Fertility Society Classification of Endometriosis. Fertility and Sterility, 24, 1173-1175. | | [6] | Deguara, C.S., Liu, B. and Davis, C. (2013) Measured Symptomatic and Psychological Outcomes in Women Undergoing Laparoscopic Surgery for Endometriosis: A Prospective Study. Current Opinion in Obstetrics and Gynecology, 25, 299-301. [Google Scholar] [CrossRef] | | [7] | 惠雪莲, 张彦, 等. 针灸配合中药治疗子宫内膜异位症38例[J]. 陕西中医学院学报, 2009, 32(3): 45-46. | | [8] | 黄苗苗, 魏兆莲. 二噁英在子宫内膜异位症发病中的作用[J]. 生殖与避孕, 2015, 35(11): 806-810. | | [9] | 李亚洲, 高冲. 赤雹果乙醇提取物对子宫内膜炎继发性痛经作用研究[J]. 中国实验方剂学杂志, 2012, 18(3): 153-155. | | [10] | 张慧琴, 马得花. 异位康冲剂治疗子宫内膜异位症50例临床观察[J]. 中医杂志, 2011, 52(1): 27. | | [11] | 赵良倩, 王荣幸. 消痛合剂对子宫内膜异位症大鼠血浆PGE2, 6-keto-PGF1α水平的影响[J]. 中国医药指南, 2008, 6(4): 4-6. | | [12] | 徐冰, 陈文勤. 子宫内膜异位症治疗药物地诺孕素的研究进展[J]. 中华妇产科杂志, 2016, 51(3): 222-224. | | [13] | Tanmahasamut, P., Rattanachaiyanont, M., Angsuwathana, S., et al. (2012) Postoperative Levonorgestrel-Releasing Intrauterine System for Pelvic Endometriosis-Related Pain: A Randomized Controlled Trial. Obstetrics & Gynecology, 119, 519-526. [Google Scholar] [CrossRef] | | [14] | Hey-Cunningham, A.J., Markham, R., Fraser, I.S., et al. (2013) Dysregulation of Vascular Endothelial Growth Factors and Their Neuropilin Receptors in the Eutopic Endometrium of Women with Endometriosis. Reproductive Sciences, 20, 1382-1389. [Google Scholar] [CrossRef] [PubMed] | | [15] | 边文会, 杜惠兰. 补肾温阳化瘀法治疗子宫内膜异位症的临床研究[J]. 中国全科医学, 2013(4): 685-686. | | [16] | 邹莼艳. 超声引导下穿刺抽液硬化治疗巧克力囊肿的临床价值[J]. 医学前沿, 2012, 2(17): 67-68. | | [17] | 俞而概, 程明军, 王宜生, 等. 软坚散结中药对子宫内膜异位症模型小鼠内粘附因子的影响[J]. 中医杂志, 2015, 50(1): 69-72. | | [18] | 王寿芳, 胡晓英. 暖宫七味丸治疗子宫内膜异位症痛经疗效观察[J]. 浙江中西医结合杂志, 2012, 22(2): 116-117. | | [19] | 张亚平, 李红梅. 琥珀散加减治疗子宫内膜异位症痛经30例[J]. 黑龙江中医药, 2011(6): 28-29. | | [20] | 邬素珍, 赵春梅. 陈氏内异丸对子宫内膜异位症大鼠血浆PGE2及PGF2α浓度的影响[J]. 中华中医药杂志(原中国医药学报), 2011, 26(2): 357. | | [21] | 顾江红, 何嘉琳, 汪明德, 等. 雷公藤治疗子宫内膜异位症40例临床观察[J]. 中国中医药科技, 2003, 10(5): 301-302. | | [22] | 周金花. 异位痛经灵灌肠治疗子宫内膜异位症痛46例[J]. 光明中医, 2012, 27(10): 2009-2010. | | [23] | 孙远征, 陈洪琳. 俞募配穴治疗子宫内膜异位症的对照研究[J]. 中国针灸, 2006, 26(12): 863-865. | | [24] | 余贵媛, 金平. 子宫内膜异位症新药开发的基础研究[J]. 国际妇产科学杂志, 201, 43(5): 581-585. |

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