Lukanova M, Miteva I, Gorgioski S, Popov I
Akush Ginekol (Sofiia). 2008;47(3):32-9.
To determine the frequency and analyze the findings during laparoscopy in women with chronic pelvic pain /CPP/.
The study was conducted in the period 01.03.2004-01.07.2007 in the Gynaecological clinic at the Department of Obstetrics and Gynaecology, MU-Pleven. Eighty-six women were consecutively admitted in the Clinic, presenting with pelvic pain with duration more than 6 months and who underwent laparoscopy in order to be diagnostically defined more accurately or operatively treated. They were classified according to their socio-demographic characteristics, reproductive history/fertility and parity/, presence of preceding operative interventions, and findings during laparoscopy.
The most frequent findings in women with CPP during laparoscopy were endometriosis /56,98%/ and adhaesion syndrome /39,53%/, and with a lower frequency-pelvic varicosis /17.44%/ and Allen-Masters syndrome /24,42%/. The most common localization of endometriotic foci was on ovaries/40,7%/and plica vesicouterina /18,6 %/, and of the varicose dilated veins-along vv.ovaricae and in the basis of the broad ligaments/resp. 89,96 and 60%/.
Laparoscopy is an exceptionally valuable and useful method in diagnosing and differentiating the etiology of chronic pelvic pain symptoms, because of the frequent presence of more than one cause with pelvic localization for its appearance.
确定慢性盆腔疼痛（CPP）女性患者腹腔镜检查的频率并分析检查结果。
该研究于2004年3月1日至2007年7月1日在普列文医科大学妇产科妇科诊所进行。86名女性因盆腔疼痛持续超过6个月而连续入住该诊所，并接受腹腔镜检查以更准确地进行诊断或手术治疗。根据她们的社会人口学特征、生殖史（生育能力和产次）、既往手术干预情况以及腹腔镜检查结果进行分类。
腹腔镜检查时，慢性盆腔疼痛女性患者最常见的检查结果是子宫内膜异位症（56.98%）和粘连综合征（39.53%），盆腔静脉曲张（17.44%）和艾伦 - 马斯特斯综合征（24.42%）的发生率较低。子宫内膜异位病灶最常见的部位是卵巢（40.7%）和膀胱子宫襞（18.6%），静脉曲张扩张静脉的部位是卵巢静脉和阔韧带底部（分别为89.96%和60%）。
腹腔镜检查在诊断和鉴别慢性盆腔疼痛症状的病因方面是一种非常有价值且有用的方法，因为其出现的盆腔局部病因往往不止一种。
