Lukanova M, Tatarova S, Popov I
Akush Ginekol (Sofiia). 2005;44 Suppl 2:7-15.
In the basic appearance of chronic pelvic pain /CPP/, it is often found the symptomatology of Allen-Masters syndrome /AMS/, especially having in mind pelvic congestion syndrome /PCS/.
To determine the diagnostic approach to AMS on the basis of CPP and factors conducive to development of AMS.
A nine-year retro- and prospective study (in the period 1996-2004) was conducted in Gynaecological Clinic at the Department of Obstetrics and Gynaecology, Medical University - Pleven. Forty patients with verified AMS were included in it. A documentary and inquiry methods were used for the investigation purposes. The following conducive factors were studied: age, body mass index /BMI/, blood group belonging, deliveries, including that of macrosomic foetuses, abortions and other gynaecologic interventions. It was rendered an account of the beginning of CPP, its qualitative and quantitative characteristics, localization and irradiation, its dynamics according to menstrual cycle and day. Excel and Statgraphics plus for Windows were used for the statistical processing of the data obtained from the investigation.
Major conducive factors to AMS are BMI, number of pregnancies (deliveries and abortions), weight/ body mass of baby born. CPP is clinically manifested with dysmenorrhoea, dyspareunia and postcoital ache.
The determined specific pain profile and the presence of proved etiological factors, parallel with laparoscopic method, are auspicious means for diagnosing AMS.
在慢性盆腔疼痛（CPP）的基本表现中，常发现艾伦 - 马斯特斯综合征（AMS）的症状，尤其是考虑到盆腔淤血综合征（PCS）时。
基于CPP确定AMS的诊断方法以及有助于AMS发生发展的因素。
在普列文医科大学妇产科的妇科诊所进行了一项为期九年的回顾性和前瞻性研究（1996 - 2004年）。纳入了40例确诊为AMS的患者。采用文献记录和询问方法进行调查。研究了以下相关因素：年龄、体重指数（BMI）、血型、分娩情况（包括巨大胎儿分娩）、流产及其他妇科手术。记录了CPP的起始情况、其定性和定量特征、定位及放射情况、根据月经周期和日期的动态变化。使用Excel和Windows版的Statgraphics plus对调查获得的数据进行统计处理。
AMS的主要相关因素是BMI、怀孕次数（分娩和流产）、出生婴儿的体重。CPP的临床表现为痛经、性交困难和性交后疼痛。
确定的特定疼痛特征以及已证实的病因因素的存在，再结合腹腔镜检查方法，是诊断AMS的有利手段。
