重视慢性盆腔疼痛女性的骨盆肌触压痛评估。

Importance of pelvic muscle tenderness evaluation in women with chronic pelvic pain.

机构信息

Department of Gynecology and Obstetrics, Faculty of Medicine of Ribeirão Preto, University of São Paulo, Ribeirão Preto, Brazil.

出版信息

Pain Med. 2010 Feb;11(2):224-8. doi: 10.1111/j.1526-4637.2009.00758.x. Epub 2009 Dec 9.

DOI:10.1111/j.1526-4637.2009.00758.x

PMID:20002593

Abstract

OBJECTIVE

To determine the prevalence of pelvic muscle tenderness in women with chronic pelvic pain (CPP) and to assess the importance of evaluating muscle tenderness in such women.

DESIGN

Observational study of 48 healthy female volunteers and 108 women with CPP, who were clinically evaluated for pelvic muscle tenderness by two researchers blinded to all clinical data.

RESULTS

The frequency of clinically detected pelvic muscle tenderness was significantly higher in women with CPP than in healthy volunteers (58.3% vs 4.2%, P < 0.001). Among women with CPP, those with pelvic muscle tenderness had higher Beck Depression Index scores (22 [6-42] vs 13 [3-39], P = 0.02) and higher rates of dyspareunia (63.5% [40/63] vs 28.9% [13/45], P < 0.004) and constipation (46.0% [29/63] vs 26.7% [12/45], P = 0.05) than those without pelvic muscle tenderness.

CONCLUSION

Tenderness of pelvic muscles was highly prevalent among women with CPP and was associated with higher BDI scores and higher rates of dyspareunia and constipation. Determination of pelvic muscle tenderness may help in identifying women who require more intense treatment for CPP.

摘要

目的

确定慢性盆腔痛（CPP）女性中骨盆肌肉触痛的患病率，并评估评估此类女性肌肉触诊的重要性。

设计

对 48 名健康女性志愿者和 108 名 CPP 女性进行观察性研究，由两名研究人员对所有临床数据均不知情的情况下对这些女性进行骨盆肌肉触诊评估。

结果

CPP 女性中临床检测到的骨盆肌肉触诊的频率明显高于健康志愿者（58.3% vs 4.2%，P<0.001）。在 CPP 女性中，有骨盆肌肉触痛的女性贝克抑郁指数评分更高（22[6-42] vs 13[3-39]，P=0.02），性交痛（63.5%[40/63] vs 28.9%[13/45]，P<0.004）和便秘（46.0%[29/63] vs 26.7%[12/45]，P=0.05）的发生率也更高。