Goldstein D P, deCholnoky C, Leventhal J M, Emans S J
J Pediatr Surg. 1979 Dec;14(6):675-80. doi: 10.1016/s0022-3468(79)80243-2.
Between July, 1974 and February, 1979, 109 adolescent girls, ranging in age from 10 1/2 to 19 yr. with unexplained chronic pelvic pain, underwent diagnostic laparoscopy. Endometriosis was the most common finding occurring in 49 patients (45%), followed by postoperative adhesions in 17 patients (16%) and congenital abnormalities of the uterus in 10 patients (9%). Other important causes were chronic pelvic inflammatory disease with peritubal and periovarian adhesions in 9%, chronic hemoperitoneum in 5%, functional ovarian cysts in 5%, and uterine serositis in 2%. No pathology could be seen in 10 patients (9%). Analysis of the presenting symptoms and physical findings revealed in most instances that the presence of significant pelvic pathology as a cause of the chronic pelvic pain was predictable and had been previously misdiagnosed. Intraoperative and postoperative management of the major problems encountered stress the importance of conservative surgery and the need for long-term follow-up.
在1974年7月至1979年2月期间，109名年龄在10.5岁至19岁之间、患有不明原因慢性盆腔疼痛的青春期女孩接受了诊断性腹腔镜检查。子宫内膜异位症是最常见的发现，49例患者（45%）出现该病症，其次是17例患者（16%）出现术后粘连，10例患者（9%）出现子宫先天性异常。其他重要原因包括慢性盆腔炎伴输卵管周围和卵巢周围粘连（9%）、慢性腹腔积血（5%）、功能性卵巢囊肿（5%）以及子宫浆膜炎（2%）。10例患者（9%）未发现病理改变。对症状和体征的分析显示，在大多数情况下，存在明显的盆腔病变作为慢性盆腔疼痛的原因是可预测的，且之前被误诊。术中及术后对遇到的主要问题的处理强调了保守手术的重要性以及长期随访的必要性。
