FitzGerald Mary P
Division of Female Pelvic Medicine and Reconstructive Surgery, Loyola University Medical Center, Bldg 103, Room 1004, 2160 South First Avenue, Maywood, IL 60153, USA.
Curr Womens Health Rep. 2003 Aug;3(4):327-33.
The topic of chronic pelvic pain (CPP) has long been a frustrating one for physicians and patients alike, with difficulties in diagnosis and management leading to delays in recovery. Recent insights into the neurobiology of chronic pain disorders and into mechanisms of visceral pain suggest that significant advances in treatment of CPP are likely to occur during coming years. These insights suggest that we consider directing our treatment efforts away from the visceral organ presumed to be primarily responsible for the CPP and toward treatment of the neurologic mechanisms that sustain chronic pain.
长期以来,慢性盆腔疼痛(CPP)这一话题让医生和患者都倍感沮丧,诊断和治疗上的困难导致康复延迟。最近对慢性疼痛疾病神经生物学及内脏痛机制的深入了解表明,未来几年CPP的治疗可能会取得重大进展。这些见解表明,我们应将治疗重点从被认为是CPP主要病因的内脏器官,转向治疗维持慢性疼痛的神经机制。