多发性子宫肌瘤中医病机、证候特点及中医药治疗进展  

Progress of the athogenesis,syndrome characteristics and treatment of traditional Chinese medicine for treating multiple uterine fibroids

作　　者：匡清清 李晓萍 张国丽[1] 王楠 KUANG Qingqing;LI Xiaoping;ZHANG Guoli;WANG Nan(The First People's Hospital of Xiaoshan District,Hangzhou,Zhejiang Province,311201)

机构地区：[1]浙江省杭州市萧山区第一人民医院,311201

出　　处：《中国计划生育学杂志》2024年第9期2203-2208,共6页Chinese Journal of Family Planning

摘　　要：子宫肌瘤多发于育龄女性,且以多发性子宫肌瘤最为常见。子宫肌瘤患者临床症状主要为月经紊乱、异常出血、下腹包块、白带增多、子宫疼痛等,严重影响女性生活质量,且可导致不孕、流产等。目前,临床多采用外科手术与西医药物保守治疗,但均具有一定局限性。祖国医学在妇科疾病治疗中具有独特优势,但关于子宫肌瘤的病因病机与中医证候分布尚存争议,临床诊断与治疗具有极大挑战性。即使如此,近年来中医药治疗子宫肌瘤仍获得了重大成果。本文基于近年来关于子宫肌瘤的研究成果对其中医病机、证候特点及中医药治疗进展进行综述,以期为临床诊断分型,制定治疗方案提供指导。The uterine fibroids are mostly in women of childbearing age,and among them,the multiple uterine fibroids are the most common.The clinical symptoms of the patients with uterine fibroids are mainly included the menstrual disorders,the abnormal bleeding,the lower abdominal mass,the increased leucorrhea and the uterine pain,and so on,and which seriously affect the quality of life of the patients and can lead to infertility and abortion.At present,the surgical operation and the conservative treatment by western medicine of the patients are the mostly used treatments in clinical practice,but both have certain limitations.Traditional Chinese medicine(TCM)has unique advantages in the treatment of the gynecological diseases,but the etiology and pathogenesis of the uterine fibroids and the distribution of TCM syndromes are still controversial,so the clinical diagnosis and treatment of the uterine fibroids are extremely challenging.Even so,in the recent years,TCM used for treating the uterine fibroids still achieves significant results.Based on the research results about the uterine fibroids in the recent years,this paper reviews the pathogenesis,syndrome characteristics and treatment progress of TCM for the uterine fibroids,in order to provide the guidance for the clinical diagnostic classification and the formulation of the treatment plans for the uterine fibroids.

关 键 词：子宫肌瘤 中医病机 证候 中医药 治疗 综述 

分 类 号：R273[医药卫生—中西医结合]