Till Sara R, Wahl Heather N, As-Sanie Sawsan
Department of Obstetrics and Gynecology, University of Michigan, Ann Arbor, Michigan, USA.
Curr Opin Obstet Gynecol. 2017 Aug;29(4):231-239. doi: 10.1097/GCO.0000000000000376.
To provide an update on nonsurgical and nonpharmacologic strategies for the management of chronic pelvic pain (CPP).
Effective treatment of patients with CPP requires a multifaceted approach, with thoughtful consideration of surgical, pharmacologic, and nonpharmacologic strategies. Evidence for physical therapy and trigger point injections for treatment of myofascial components of CPP is increasing. Neuromodulation techniques, such as percutaneous tibial nerve stimulation and transcutaneous electrical stimulation, have limited but favorable preliminary data in patients with CPP. Behavioral strategies, such as exercise, cognitive behavioral therapy, and mindfulness, have demonstrated significant improvements in pain, function and quality of life in patients with a variety of chronic pain conditions and are promising avenues for future research in CPP.
Nonpharmacologic therapies are important adjuncts to surgical and pharmacologic treatment for CPP and should be considered integral to a comprehensive treatment approach.
提供慢性盆腔疼痛（CPP）管理的非手术和非药物治疗策略的最新进展。
有效治疗CPP患者需要多方面的方法，要充分考虑手术、药物和非药物策略。物理治疗和触发点注射治疗CPP肌筋膜成分的证据越来越多。神经调节技术，如经皮胫神经刺激和经皮电刺激，在CPP患者中的初步数据有限但前景良好。行为策略，如运动、认知行为疗法和正念减压法，已证明在各种慢性疼痛疾病患者的疼痛、功能和生活质量方面有显著改善，是未来CPP研究的有前景的途径。
非药物治疗是CPP手术和药物治疗的重要辅助手段，应被视为综合治疗方法不可或缺的一部分。
