Department of Gynecology and Obstetrics, Faculty of Medicine of Ribeirão Preto, University of São Paulo, Ribeirão Preto, Brazil.
Pain Med. 2010 Feb;11(2):224-8. doi: 10.1111/j.1526-4637.2009.00758.x. Epub 2009 Dec 9.
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.
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.
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.
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.
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。
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。
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。
CPP 女性中骨盆肌肉触痛很常见，与更高的 BDI 评分以及更高的性交痛和便秘发生率相关。确定骨盆肌肉触诊可能有助于识别需要更强化治疗 CPP 的女性。
