子宫内膜异位症相关慢性盆腔疼痛的物理治疗

doi:10.12280/gjfckx.20250567

摘要/Abstract

摘要：

子宫内膜异位症（endometriosis，EMs）是一种常见的女性生殖系统疾病，可严重影响患者的生活质量，尤其是伴随慢性盆腔痛（chronic pelvic pain，CPP）的患者。其病理机制复杂，传统的药物治疗和手术治疗往往难以使疼痛得到长期、彻底的缓解，且复发率高。文献数据表明，体育锻炼、肌筋膜手法治疗、生物反馈、电神经调控、磁刺激治疗、射频治疗以及针灸等物理治疗方式通过改善局部血液循环、调节神经传导、减少炎症反应以及促进组织修复等机制，作用于疼痛路径缓解患者疼痛，有望成为药物和手术治疗效果不佳的EMs相关CPP的潜在补充治疗方式。目前，针对EMs物理治疗的高质量、大样本随机对照研究数量仍较为有限，未来需开展更多研究以证实其临床疗效。

关键词: 子宫内膜异位症, 骨盆痛, 慢性病, 物理治疗方法, 神经系统

Abstract:

Endometriosis (EMs) is a common disease of the female reproductive system, which can seriously affect the quality of life of patients, especially those with chronic pelvic pain (CPP). The pathological mechanism is complex. Traditional drug therapy and surgical interventions often fail to achieve sustained and complete pain relief, and the recurrence rate is high. Literature data show that physical therapy methods such as physical exercise, myofascial manual therapy, biofeedback, electro-neural modulation, magnetic stimulation therapy, radiofrequency therapy, and acupuncture act on the pain pathway to relieve patients′ pain through mechanisms such as improving local blood circulation, regulating nerve conduction, reducing inflammatory responses, and promoting tissue repair. These approaches are expected to become potential complementary therapies for EMs-related CPP when drug and surgical treatments are ineffective. Currently, the number of high-quality, large-sample randomized controlled trials on physical therapy for EMs is still relatively limited. More studies are needed in the future to confirm its clinical efficacy.

Key words: Endometriosis, Pelvic pain, Chronic disease, Physical therapy modalities, Nervous system

曾雨柔, 杜靖然, 李田. 子宫内膜异位症相关慢性盆腔疼痛的物理治疗[J]. 国际妇产科学杂志, 2025, 52(6): 612-617.

ZENG Yu-rou, DU Jing-ran, LI Tian. Physical Therapy for Endometriosis-Related Chronic Pelvic Pain[J]. Journal of International Obstetrics and Gynecology, 2025, 52(6): 612-617.

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