Gürel H, Atar Gürel S
Department of Obstetrics and Gynecology, Yüzüncü Yil University Medical School, Van, Turkey.
Gynecol Obstet Invest. 1999;48(2):119-22. doi: 10.1159/000010152.
The aim of this study was to evaluate the correlation between severe dyspareunia, back pain, dysmenorrhea and chronic pelvic pain (CPP), and the relationship of each pain type with various sociodemographic factors, pelvic relaxation and high parity. Two hundred thirty-five premenstrual individuals were included. The prevalences of CPP, deep dyspareunia, dysmenorrhea and back pain were found to be 80.4, 30.6, 57.0 and 57.4%, respectively. Marriage duration was longer (p < 0. 01) and also parity was higher (p < 0.0001) in CPP cases than controls. However, none of the demographic factors had a significant correlation with dyspareunia, back pain and dysmenorrhea. CPP was correlated with both back pain (r = 0.18, p < 0.005) and dyspareunia (r = 0.19, p < 0.004). However, there was no correlation between back pain and dyspareunia. On the other hand, dysmenorrhea did not show a correlation with any pain types. While grandmultiparity had a significant effect on CPP (p < 0.0001), it did not have a significant effect on other pain types in a MANOVA model. CPP is very often seen in our population and it often makes a pain complex with dyspareunia and back pain. The prevention of grandmultiparity is important to decrease the incidence of CPP.
本研究的目的是评估严重性交困难、背痛、痛经与慢性盆腔疼痛（CPP）之间的相关性，以及每种疼痛类型与各种社会人口学因素、盆腔松弛和多产之间的关系。纳入了235名经前个体。发现CPP、深部性交困难、痛经和背痛的患病率分别为80.4%、30.6%、57.0%和57.4%。与对照组相比，CPP患者的婚姻持续时间更长（p<0.01），产次也更高（p<0.0001）。然而，没有任何人口学因素与性交困难、背痛和痛经有显著相关性。CPP与背痛（r=0.18，p<0.005）和性交困难（r=0.19，p<0.004）均相关。然而，背痛和性交困难之间没有相关性。另一方面，痛经与任何疼痛类型均无相关性。在多变量方差分析模型中，多产对CPP有显著影响（p<0.0001），但对其他疼痛类型没有显著影响。CPP在我们的人群中很常见，并且常常与性交困难和背痛形成疼痛复合体。预防多产对于降低CPP的发生率很重要。
