Delarue T, Tardif C, Foissey A
Service de Gynécologie-Obstétrique, Centre Hospitalier, Vitré.
Rev Fr Gynecol Obstet. 1990 Nov;85(11):595-602.
Using a study of 306 coelioscopies as a basis, the authors try to define the relationship existing between the observation of lesions of peritoneal endometriosis and the symptom of pain. Certain observations raise the doubt of there being a cause/effect relationship (i.e. high incidence of peritoneal endometriosis in women without symptoms of pain, only 40% of cases of peritoneal endometriosis are associated with pain, very high incidence of associated lesions or psychiatric history in women with painful peritoneal endometriosis). While unable to rule out the responsibility of lesions of peritoneal endometriosis in the genesis of pelvic pain, they nevertheless believe that such an observation should lead the physician to be critical (is the pain psychogenic?) and thorough (investigation of genital or extra-genital associated lesions) before any conclusion is drawn. In certain cases, the reply will be given by the therapeutic test.
作者以一项对306例腹腔镜检查的研究为基础，试图确定腹膜子宫内膜异位症病变的观察结果与疼痛症状之间存在的关系。某些观察结果引发了对因果关系的质疑（例如，无症状女性中腹膜子宫内膜异位症的高发病率，仅40%的腹膜子宫内膜异位症病例与疼痛相关，有疼痛的腹膜子宫内膜异位症女性中相关病变或精神病史的发病率非常高）。虽然无法排除腹膜子宫内膜异位症病变在盆腔疼痛发生中的责任，但他们仍然认为，在得出任何结论之前，这样的观察结果应促使医生持批判性态度（疼痛是否为心因性？）并进行全面检查（调查生殖器或生殖器外相关病变）。在某些情况下，治疗性试验将给出答案。
