Papathanasiou K, Papageorgiou C, Panidis D, Mantalenakis S
1st Department of Obstetrics and Gynecology, Aristotelian University of Thessaloniki, Greece.
Clin Exp Obstet Gynecol. 1999;26(3-4):190-2.
Chronic pelvic pain (CPP) still remains a serious problem in everyday gynecological practice. The aim of this study was to prospectively estimate the occurrence of pelvic varicosities in women with CPP and also to report our experience in the establishment of diagnosis and management of patients with CPP. We examined 264 premenopausal women aged 18 to 42 years referred to us for chronic constant pelvic pain of at least 6 months duration and with incomplete relief by previous treatments. The women were divided into 4 groups in proportion to their parity. The results of our study demonstrate that pelvic congestion is a common finding in women with chronic pelvic pain especially in multigravidas. Based on our findings we support laparoscopic resetting of the uterus as an option for treatment in patients desiring maintenance of future fertility.
慢性盆腔疼痛（CPP）在日常妇科实践中仍然是一个严重问题。本研究的目的是前瞻性评估慢性盆腔疼痛女性盆腔静脉曲张的发生率，并报告我们在慢性盆腔疼痛患者诊断和管理方面的经验。我们检查了264名年龄在18至42岁之间的绝经前女性，她们因持续至少6个月的慢性持续性盆腔疼痛前来就诊，且先前治疗未能完全缓解。这些女性根据其生育次数按比例分为4组。我们的研究结果表明，盆腔充血在慢性盆腔疼痛女性中是常见表现，尤其是多产妇。基于我们的研究结果，我们支持对希望保留未来生育能力的患者采用腹腔镜子宫复位术作为一种治疗选择。
