Department of Gynecology and Obstetrics, Erlangen University Hospital, Friedrich-Alexander University of Erlangen-Nuremberg, Universitätsstrasse 21-23, 91054, Erlangen, Germany.
Arch Gynecol Obstet. 2012 Sep;286(3):687-93. doi: 10.1007/s00404-012-2369-4. Epub 2012 May 9.
To construct pain maps in order to describe the distribution of pelvic pain in a group of endometriosis patients and endometriosis-free patients, to assess the feasibility of this method.
A total of 159 patients with pelvic pain who were scheduled for diagnostic laparoscopy.
A total of 117 patients with and 42 patients without endometriosis were included. The pain distribution between these two patient groups appeared to differ in some peripheral anatomical structures. In the endometriosis patients, the pain was most frequently located in the rectouterine pouch.
In endometriosis patients, pain mapping to assess preoperative pain sensations relative to the anatomic location of endometriotic lesions is feasible. The pain provoked by vaginal examination is frequently perceived as median relative to the actual anatomic location of the endometriotic lesions. Several anatomic and neurophysiological factors may explain this phenomenon.
构建疼痛图，以描述一组子宫内膜异位症患者和非子宫内膜异位症患者的盆腔疼痛分布情况，并评估该方法的可行性。
共有 159 名因盆腔疼痛而计划接受诊断性腹腔镜检查的患者。
共纳入 117 名子宫内膜异位症患者和 42 名非子宫内膜异位症患者。这两组患者的疼痛分布似乎在一些外周解剖结构上存在差异。在子宫内膜异位症患者中，疼痛最常位于直肠子宫陷凹。
在子宫内膜异位症患者中，评估术前疼痛感觉相对于子宫内膜异位病灶解剖位置的疼痛图绘制是可行的。阴道检查引起的疼痛通常被感知为相对于子宫内膜异位病灶的实际解剖位置的中间位置。一些解剖和神经生理学因素可能解释这种现象。
