子宫腺肌病保守治疗痛经缓解后再发的处理

子宫腺肌病是一种难以处理的良性疾病，其中痛经评价较为复杂，需要有统一的标准更好地评价疗效。文章回顾各类文献以及指南，可使用视觉模拟评分（VAS）评价术后每个月的痛经情况，而对于术前以及术后较长时间痛经情况的分析，可使用慢性疼痛分级问卷量表。既往研究显示，术后6个月是评价保守治疗结局的时间点。因此，术后6个月时将保守治疗疗效评价为无效、缓解及缓解后再发。子宫腺肌病保守治疗手段的疗效，不同方法各有利弊，更多时候对于症状缓解后再发的患者可考虑采用多手段序贯综合治疗。

Treatment for dysmenorrhea relapse after remission following adenomyosis treatment.

Abstract:Adenomyosis is a kind of benign disease which is difficult to treat. Dysmenorrhea evaluation is complex，so it needs a unified standard in order to better evaluate the efficacy. This article reviewed various literature and guidelines，indicating that VAS can be used to evaluate the postoperative monthly dysmenorrhea situation. However，for analysis of long period of dysmenorrhea before and after operation， the chronic pain rating scale questionnaire can be used. Previous team studies have shown that 6 months after surgery is the time to evaluate the outcome of conservative treatment. So conservative treatment can be evaluated as no effect，remission and relapse after remission in 6 months after treatment. Concerning the efficacy of conservative treatment，different methods have their own advantages and disadvantages，and for patients who relapse after symptom relief， the use of multiple sequential comprehensive treatment may be considered.