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妇科、泌尿科和精神科因素在慢性盆腔痛中的作用。

The role of gynecological, urological, and psychiatric factors in chronic pelvic pain.

机构信息

Department of Obstetrics and Gynecology, Dr. Faruk Sükan Maternity and Children's Hospital, Nalcacı, Konya, Turkey.

出版信息

Arch Gynecol Obstet. 2012 Nov;286(5):1215-20. doi: 10.1007/s00404-012-2443-y. Epub 2012 Jul 5.

DOI:10.1007/s00404-012-2443-y
PMID:22763924
Abstract

AIM

In this study, the effectiveness of diagnostic laparoscopy, one of the methods used in the diagnosis and treatment of chronic pelvic pain, was investigated by the etiological examination of patients with chronic pelvic pain, who were treated and followed up on our clinic, allowing for gynecological, urological, and psychological factors.

MATERIALS AND METHODS

In this study, the importance of diagnostic laparoscopy in chronic pelvic pain was assessed in 44 patients diagnosed with chronic pelvic pain between September 2005 and May 2006. Additionally, the records of 31 patients who did not have pelvic pain and on whom laparoscopy was performed due to tubal ligation at the same time were assessed.

FINDINGS

The study group and the control group were compared in terms of laparoscopic findings. There were laparoscopic findings in 38 (86 %) of the 44 patients in the study group and pathological findings in 13 (41 %) of the 31 patients in the control group. Differences between the groups were statistically significant (p < 0.05).

RESULT

Chronic pelvic pain is a syndrome in which biological and psychosocial factors play a role. Laparoscopy for chronic pelvic pain is an operation based on the "see and fight" principle.

摘要

目的

本研究通过对在我院就诊并随访的慢性盆腔痛患者进行病因学检查,同时考虑妇科、泌尿科和心理因素,探讨诊断性腹腔镜检查在慢性盆腔痛诊治中的作用。

材料和方法

本研究评估了 2005 年 9 月至 2006 年 5 月期间诊断为慢性盆腔痛的 44 例患者中诊断性腹腔镜检查的重要性。此外,还评估了同时因输卵管结扎而行腹腔镜检查但无盆腔痛的 31 例患者的记录。

结果

研究组和对照组的腹腔镜检查结果进行了比较。在研究组的 44 例患者中,有 38 例(86%)有腹腔镜检查发现,而在对照组的 31 例患者中,有 13 例(41%)有病理发现。组间差异有统计学意义(p<0.05)。

结论

慢性盆腔痛是一种生物和心理社会因素共同作用的综合征。腹腔镜检查慢性盆腔痛是一种基于“见即治”原则的手术。

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