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通过分析整理近年来有关子宫内膜异位症(endometriosis,EM)复发的中西医结合防治的文献,探讨降低EM复发和预防EM发生的方法。EM为妇科常见疾病,近年来其发病率有明显增高趋势。因其具有增生、浸润、转移及复发等特性,可引起痛经、慢性盆腔疼痛和不孕等,严重影响女性的身心健康。目前西医治疗以手术治疗为主,药物治疗、介入治疗为辅,但存在远期疗效欠佳及易复发的不足;中医在治疗EM上重视瘥后防复、改善体质、治疗源头、内外结合,在改善症状、调经种子上取得了一定的疗效。因中医药在EM治疗中具有双向调节、不良反应小等优势,故及早给予中医药干预是防止EM发生和延缓其复发的安全有效的方法。
By analyzing and sorting out the recent literature on the prevention and treatment of the recurrence of endometriosis (EM), we discuss ways to reduce the recurrence of EM and prevent the occurrence of EM. EM is a common gynecological disease in recent years, its incidence has significantly increased. Because of its proliferation, invasion, metastasis and recurrence and other characteristics, can cause dysmenorrhea, chronic pelvic pain and infertility, seriously affecting women’s physical and mental health. At present, Western medicine is mainly based on surgical treatment, supplemented by medical treatment and interventional therapy, but there are shortcomings of poor long-term efficacy and relapse; Chinese medicine focuses on post-nimbled EM and improves physical fitness, treatment of the source, internal and external combination, In improving the symptoms, menstruation seeds have made a certain effect. Because of traditional Chinese medicine in EM treatment with two-way regulation, adverse reactions and other advantages, so early intervention of Chinese medicine is to prevent the occurrence of EM and delay the recurrence of a safe and effective method.