Moormann O, Gralow I
Klinik für Urologie, St.-Josefs-Hospital, Wilhelm-Schmidt-Str.4, 44263, Dortmund, Deutschland,
Schmerz. 2014 Jun;28(3):305-10. doi: 10.1007/s00482-014-1409-3.
Chronic pelvic pain represents a multifactorial problem of unknown etiology. International standardized diagnostic and therapeutic approaches do not exist.
Medline and PubMed databases were searched for systematic reviews and guidelines for prevalence and therapy of chronic pelvic pain syndrome.
Frequency, clinical picture, and treatment concepts for various forms of chronic pelvic pain are presented. If established treatments fail, then multimodal therapy concepts are recommended. Controlled studies, which fulfill evidence-based medicine criteria, are lacking.
The success of multimodal therapeutic approaches in other chronic pain diseases should lead to the development and verification of these for chronic pelvic pain.
慢性盆腔疼痛是一个病因不明的多因素问题。目前尚无国际标准化的诊断和治疗方法。
检索Medline和PubMed数据库,查找关于慢性盆腔疼痛综合征患病率和治疗的系统评价及指南。
介绍了各种形式慢性盆腔疼痛的发生率、临床表现和治疗理念。如果既定治疗失败,则推荐采用多模式治疗理念。缺乏符合循证医学标准的对照研究。
多模式治疗方法在其他慢性疼痛疾病中的成功应用应促使其在慢性盆腔疼痛治疗中的开发和验证。