Kang S-B, Chung H H, Lee H-P, Lee J Y, Chang Y S
Department of Obstetrics and Gynecology, Seoul National University College of Medicine, 28 Yongon-dong, Chongno-gu, Seoul, Korea.
Surg Endosc. 2007 Jun;21(6):916-9. doi: 10.1007/s00464-006-9047-1. Epub 2006 Nov 14.
Diagnostic laparoscopy is a useful tool, especially when there is no definite anatomical abnormality visible on imaging modalities. We assess the role and clinical impact of diagnostic laparoscopy in the management of women with chronic pelvic pain.
Clinical data of 3,068 cases of diagnostic laparoscopy performed for chronic pelvic pain from June 1994 to August 2005 were analyzed. We compared the diagnoses after diagnostic laparoscopy and those after pelvic examination and imaging modalities such as ultrasound or computed tomography (CT), and we then checked the final pathologic diagnoses after operation.
Pelvic endometriosis was the most common (60.2%) laparoscopic finding in patients with chronic pelvic pain in this study, followed by normal pelvic findings (21.2%) and pelvic congestion (13.0%). Diagnostic laparoscopy had an influence on correcting previous plans based on imaging modalities in 42.7% of patients such as discarding unnecessary procedures or introducing new diagnostic or therapeutic plans. There were 3 cases of major complications requiring immediate correction.
Diagnostic laparoscopy is a useful diagnostic tool for of women with chronic pelvic pain and can be used as a guideline for individualized treatment.
诊断性腹腔镜检查是一种有用的工具，尤其是在影像学检查未发现明确解剖异常的情况下。我们评估诊断性腹腔镜检查在慢性盆腔疼痛女性管理中的作用和临床影响。
分析了1994年6月至2005年8月期间因慢性盆腔疼痛进行的3068例诊断性腹腔镜检查的临床资料。我们比较了诊断性腹腔镜检查后的诊断结果与盆腔检查及超声或计算机断层扫描（CT）等影像学检查后的诊断结果，然后检查了术后的最终病理诊断。
在本研究中，盆腔子宫内膜异位症是慢性盆腔疼痛患者腹腔镜检查中最常见的发现（60.2%），其次是盆腔正常发现（21.2%）和盆腔淤血（13.0%）。诊断性腹腔镜检查对42.7%的患者基于影像学检查的先前计划进行了修正，例如放弃不必要的程序或引入新的诊断或治疗计划。有3例严重并发症需要立即纠正。
诊断性腹腔镜检查是慢性盆腔疼痛女性有用的诊断工具，可作为个体化治疗的指导。
