从三焦膜腠理论探析晚期卵巢癌-腹膜转移及中医维持治疗

卵巢癌在妇科三大恶性肿瘤中致死率最高，腹膜转移-肠梗阻-死亡是晚期卵巢癌主要转归模式。中医药维持治疗晚期卵巢癌疗效确切，但理论基础尚需进一步完善。本文溯本求源，在三焦-膜腠理论指导下，结合临床体会，提出卵巢癌-腹膜转移的三焦定位，及三焦功能失调在卵巢癌发生及转移中的作用，并提出疏利三焦气机、和调脏腑气血，清化伏毒是中医维持治疗卵巢癌的主要策略，从三焦-膜腠系统角度丰富了卵巢癌中医理论，为卵巢癌治疗提供新思路。

Exploration of Peritoneal Metastasis of Advanced Ovarian Cancer and Maintenance Treatment with Traditional Chinese Medicine Based on Theory of Membranous Sanjiao

Ovarian cancer has the highest mortality among the three major gynecological malignancies. Peritoneal metastasis, intestinal obstruction and then death is the main outcome pattern of advanced ovarian cancer. Traditional Chinese medicine maintenance treatment of advanced ovarian cancer is effective, but the theoretical basis needs to be further improved. Under the guidance of the membranous Sanjiao theory and combined with clinical experience, this paper traces the origin, focuses the location of membranous Sanjiao of ovarian cancer peritoneal metastasis and the role of membranous Sanjiao dysfunction in the occurrence and metastasis of ovarian cancer. Besides, the paper puts forward that the main strategies for the maintenance treatment of traditional Chinese medicine on ovarian cancer are ordering the Qi movement of Sanjiao, regulating and harmonizing Qi and blood, and clearing away the latent toxin. From the perspective of membranous Sanjiao theory, the theory enriches the traditional Chinese medicine theory of ovarian cancer and provides new ideas for the treatment of ovarian cancer.