Dwyer Peter L
Department of Urogynecology, Mercy Hospital for Women, University of Melbourne, Melbourne, Australia.
Int Urogynecol J. 2011 Apr;22(4):383-4. doi: 10.1007/s00192-011-1370-y.
Women with chronic pelvic pain are frequently referred to gynaecologists as over 50% also have genitourinary or irritable bowel symptoms or both. When no specific pathology is found and the pathophysiology is unclear, the aetiology is probably an interplay of neuropathic, inflammatory and functional factors. The principles of medical and surgical treatment are discussed and should be based on evidence-based medicine.
慢性盆腔疼痛的女性经常被转诊给妇科医生，因为超过50%的患者还伴有泌尿生殖系统症状或肠易激症状，或两者兼有。当未发现特定病理情况且病理生理学尚不清楚时，病因可能是神经性、炎症性和功能性因素相互作用的结果。本文讨论了药物和手术治疗的原则，这些原则应以循证医学为基础。
