Frauenärzte am Staden, ETC - European Training Center for Gynecologic Endoscopy and Gynecologic Surgery, Saarbrücken, Germany.
Gynecol Endocrinol. 2009 Nov;25(11):757-61. doi: 10.3109/09513590903230366.
Chronic pelvic pain is a significant problem in gynaecology, as the causes often cannot be found by a general gynaecologic examination. Subsequently, the women often consult various physicians without a right and precise diagnosis being made. Thus, it is necessary to find a possibility for how to help these women quickly and effectively. As in nearly 1/3 of the cases the reason for the pain is an endometriosis and in another third, adhesions are responsible for the pain, the biggest part can be diagnosed and treated by laparoscopy. If laparoscopically no reason can be found, it is advisable to send the patient to a psychosomatic physician, who then can start a correspondingly differentiated diagnosis and therapy.
慢性骨盆疼痛是妇科的一个重大问题，因为通常通过一般妇科检查找不到病因。随后，这些女性经常咨询各种医生，但都没有做出正确和准确的诊断。因此，有必要寻找一种方法来帮助这些女性快速有效地治疗。因为在近三分之一的病例中，疼痛的原因是子宫内膜异位症，在另外三分之一的病例中，粘连是疼痛的原因，大部分可以通过腹腔镜诊断和治疗。如果腹腔镜检查没有发现原因，建议将患者转介给身心医学医生，然后医生可以开始进行相应的鉴别诊断和治疗。
