Rhodin Annica
Akademiska Sjukhuset, Uppsala, Sweden.
J Pain Palliat Care Pharmacother. 2013 Aug;27(3):289-91. doi: 10.3109/15360288.2013.817501. Epub 2013 Aug 2.
Chronic pelvic pain is a common, multifactorial complaint that affects both women and men, causing disability and frustration for patients. The exact aetiology remains unknown, although several theories have been proposed. Assessment should be undertaken with care and compassion, while considering the sensitive nature of the area. Management involves ruling out treatable pathology concomitant with strategies to control pain. Novel treatment approaches have been investigated for specific clinical scenarios. The more severe CPP cases are best managed using a multidisciplinary approach. Management requires good integration and knowledge of all pelvic organ systems and including musculoskeletal, neurologic and psychological mechanisms.
慢性盆腔疼痛是一种常见的、多因素的病症,影响着男性和女性,给患者带来残疾和挫败感。尽管已经提出了几种理论,但确切病因仍然不明。评估时应谨慎且富有同情心,同时要考虑到该区域的敏感性。治疗包括排除可治疗的病理状况并采取控制疼痛的策略。针对特定临床情况,人们已经研究了新的治疗方法。对于更严重的慢性盆腔疼痛病例,最好采用多学科方法进行管理。管理需要对所有盆腔器官系统有良好的整合和了解,包括肌肉骨骼、神经和心理机制。