Bajka M
Klinik für Gynäkologie, Dept . Frauenheilkunde, Universitätsspital Zürich.
Praxis (Bern 1994). 2004 Mar 24;93(13):503-8. doi: 10.1024/0369-8394.93.13.503.
Differential diagnosis of acute pelvic pain in gynecology has to respect the four pillars anamnesis, laboratory, clinical investigation and ultrasonographic evaluation. Besides, no findings should be evaluated independently. A meaningful general attempt to the diagnostics in gynecology is the partitioning in pregnancy test-positive (known pregnancy respectively) and pregnancy test-negative (postmenopausal respectively). Further important findings are clear inflammation markers and free blood in the abdominal cavity. If an extensive basic clarification should not allow conclusive diagnosis, the judgement of the dynamism of the complaints by short term controls or an interdisciplinary cooperation may be helpful. Sometimes, several relevant causes may be identified as reason of acute pelvic pain.
妇科急性盆腔疼痛的鉴别诊断必须考虑病史、实验室检查、临床检查和超声评估这四大要点。此外，任何检查结果都不应孤立地进行评估。妇科诊断的一个有意义的总体方法是将妊娠试验阳性（分别为已知妊娠）和妊娠试验阴性（分别为绝经后）进行分类。其他重要的检查结果是明确的炎症标志物和腹腔内的游离血液。如果进行了全面的基础检查仍无法得出明确诊断，通过短期随访判断症状的动态变化或进行多学科合作可能会有所帮助。有时，可能会发现多种相关原因导致急性盆腔疼痛。
