Wesselmann U, Czakanski P P
Department of Neurology, Johns Hopkins University School of Medicine, Traylor Building 604, 720 Rutland Avenue, Baltimore, MD 21205, USA.
Curr Pain Headache Rep. 2001 Feb;5(1):13-9. doi: 10.1007/s11916-001-0005-2.
Patients with chronic pelvic pain are usually evaluated and treated by gynecologists, gastroenterologists, urologists, and internists. In many patients with chronic pelvic pain the examination and work-up remain unrevealing and no specific cause of the pain can be identified. In these cases it is important to recognize that pain is not only a symptom of pelvic disease, but that the patient is suffering from a chronic pelvic pain syndrome. Once the diagnosis of chronic pelvic pain is made, treatment should be directed to symptomatic pain management. This article outlines treatment options currently available. Despite the challenge inherent in the management of chronic pelvic pain, many patients can be treated successfully using a multidisciplinary pain management approach. The first important step is to recognize that patients with chronic pelvic pain might suffer from a chronic visceral pain syndrome.
慢性盆腔疼痛患者通常由妇科医生、胃肠病学家、泌尿科医生和内科医生进行评估和治疗。在许多慢性盆腔疼痛患者中，检查和检查结果仍然没有发现问题，无法确定疼痛的具体原因。在这些情况下，重要的是要认识到疼痛不仅是盆腔疾病的症状，而且患者患有慢性盆腔疼痛综合征。一旦做出慢性盆腔疼痛的诊断，治疗应针对症状性疼痛管理。本文概述了目前可用的治疗选择。尽管慢性盆腔疼痛的管理存在固有挑战，但许多患者可以通过多学科疼痛管理方法成功治疗。第一个重要步骤是认识到慢性盆腔疼痛患者可能患有慢性内脏疼痛综合征。
