Riant T, Rigaud J, Delavierre D, Sibert L, Labat J-J
Unité d'évaluation et de traitement de la douleur, centre Catherine-de-Sienne, 44000 Nantes, France.
Prog Urol. 2010 Nov;20(12):1145-57. doi: 10.1016/j.purol.2010.08.054. Epub 2010 Oct 20.
Chronic postoperative pain has been defined as pain arising after a surgical operation, present for at least 2 months, with no organic (active cancer or chronic infection) or preexisting cause. The purpose of this article is to review the risk factors and prevention of chronic postoperative pelvic and perineal pain.
A review of the literature was performed by searching PubMed for articles on risk factors and prevention of chronic postoperative pelvic and perineal pain.
Chronic postoperative pain is frequent, disabling and represent a high cost to the community. This pain is generated by variable and complex interactions between the surgical procedure (the operated zone, perioperative management, the disease requiring the operative procedure) and the patient (age, gender, genetics, concomitant diseases, personal history). The multifactorial nature of chronic postoperative pain suggests the need for multidisciplinary management with prevention and reduction of the main risk factors. Similarly, appropriate management of acute postoperative pain has a major impact on the risk of chronic pain.
A good knowledge of the risk factors and appropriate prevention can decrease the incidence and consequences of chronic postoperative pain.
慢性术后疼痛被定义为外科手术后出现的疼痛，持续至少2个月，且无器质性病因（活动性癌症或慢性感染）或既往病因。本文旨在综述慢性术后盆腔和会阴疼痛的危险因素及预防措施。
通过在PubMed上搜索关于慢性术后盆腔和会阴疼痛危险因素及预防的文章，对文献进行综述。
慢性术后疼痛很常见，会导致功能障碍，给社会带来高昂成本。这种疼痛是由手术操作（手术区域、围手术期管理、需要手术治疗的疾病）与患者（年龄、性别、遗传因素、伴发疾病、个人病史）之间复杂多变的相互作用所产生的。慢性术后疼痛的多因素性质表明需要采取多学科管理措施，预防并减少主要危险因素。同样，对急性术后疼痛进行适当管理对慢性疼痛风险有重大影响。
充分了解危险因素并采取适当预防措施可降低慢性术后疼痛的发生率及其后果。
