Cox Louise, Ayers Susan, Nala Kamala, Penny James
Department of Psychology, University of Sussex, Brighton, Sussex, and Department of Obstetrics and Gynaecology, East Surrey Hospital, UK.
Eur J Obstet Gynecol Reprod Biol. 2007 Jun;132(2):214-9. doi: 10.1016/j.ejogrb.2006.04.020. Epub 2006 May 30.
To examine the long-term relationship between chronic pelvic pain (CPP) and quality of life and see if this is affected by a negative laparoscopy result.
A postal questionnaire survey of CPP and quality of life in 63 women who underwent a diagnostic laparoscopy 12-18 months previously.
Women with CPP still reported pain 12-18 months after laparoscopy and a significantly poorer quality of life than UK norms for women of a similar age. Factor analysis showed that reports of pain symptoms clustered into two dimensions: (1) pain associated with menstruation and (2) pain associated with sexual intercourse and bladder and bowel function. Most dimensions of quality of life were significantly associated with pain. However, 'role limitation due to emotional problems' and 'mental health' were only associated with pain due to sexual intercourse and bladder and bowel function. Pain and quality of life were not affected by laparoscopy result or follow-up appointment.
Women with CPP continue to have pain and a low quality of life 12-18 months after laparoscopy. Laparoscopy results and follow-up appointments do not appear to affect either pain symptoms or quality of life in the long term, although this may be confounded by women obtaining treatment elsewhere.
探讨慢性盆腔疼痛（CPP）与生活质量之间的长期关系，并观察这是否受腹腔镜检查结果为阴性的影响。
对63名在12 - 18个月前接受诊断性腹腔镜检查的女性进行关于CPP和生活质量的邮寄问卷调查。
患有CPP的女性在腹腔镜检查12 - 18个月后仍报告有疼痛，且生活质量明显低于英国同龄女性的标准。因子分析表明，疼痛症状报告可分为两个维度：（1）与月经相关的疼痛；（2）与性交及膀胱和肠道功能相关的疼痛。生活质量的大多数维度与疼痛显著相关。然而，“因情绪问题导致的角色限制”和“心理健康”仅与性交及膀胱和肠道功能引起的疼痛相关。疼痛和生活质量不受腹腔镜检查结果或随访预约的影响。
患有CPP的女性在腹腔镜检查12 - 18个月后仍持续疼痛且生活质量较低。腹腔镜检查结果和随访预约似乎长期不会影响疼痛症状或生活质量，尽管这可能因女性在其他地方接受治疗而受到混淆。
