Dalpiaz Orietta, Kerschbaumer Andrea, Mitterberger Michael, Pinggera Germar, Bartsch Georg, Strasser Hannes
Department of Urology, Medical University Innsbruck, Austria.
BJU Int. 2008 Nov;102(9):1061-5. doi: 10.1111/j.1464-410X.2008.07771.x. Epub 2008 Jun 6.
Chronic pelvic pain (CPP), a common condition particularly in reproductive-aged women, causes disability and distress, and significantly compromises quality of life and affects healthcare costs. The pathogenesis of CPP is still poorly understood and consequently poorly managed. Furthermore, the lack of a consensus on the definition of CPP greatly hinders epidemiological studies. Patients present with various associated problems, including bladder or bowel dysfunction, gynaecological pathologies or sexual dysfunction, and other systemic or constitutional symptoms. Other conditions, e.g. depression, anxiety and drug addiction, can also coexist. Effective management presupposes an integrated knowledge of all pelvic organs and other systems, including musculoskeletal, neurological and psychiatric systems. The key to treating CPP is to treat it as the complex disease it is. Treatment options range from conservative medical therapy to surgical intervention, and are primarily directed towards symptom relief. Unsatisfactory results of treatment render this condition a frustrating problem for both patients and physicians.
慢性盆腔疼痛（CPP）是一种常见病症，尤其在育龄女性中多见，会导致残疾和痛苦，严重影响生活质量并增加医疗费用。CPP的发病机制仍未完全明确，因此治疗效果不佳。此外，对CPP定义缺乏共识极大地阻碍了流行病学研究。患者会出现各种相关问题，包括膀胱或肠道功能障碍、妇科疾病或性功能障碍，以及其他全身或体质症状。其他病症，如抑郁、焦虑和药物成瘾，也可能并存。有效的治疗需要综合了解所有盆腔器官和其他系统，包括肌肉骨骼、神经和精神系统。治疗CPP的关键在于将其视为一种复杂疾病来对待。治疗选择从保守药物治疗到手术干预，主要目的是缓解症状。治疗效果不理想使这种病症成为患者和医生都感到棘手的问题。
