慢性盆腔疼痛：评估、评价与客观化
Chronic Pelvic Pain: Assessment, Evaluation, and Objectivation.
作者信息
Passavanti Maria Beatrice, Pota Vincenzo, Sansone Pasquale, Aurilio Caterina, De Nardis Lorenzo, Pace Maria Caterina
机构信息
Department of Woman, Child, General and Specialized Surgery, University of Campania L. Vanvitelli, Naples, Italy.
出版信息
Pain Res Treat. 2017;2017:9472925. doi: 10.1155/2017/9472925. Epub 2017 Nov 20.
Abstract
Chronic Pelvic Pain (CPP) and Chronic Pelvic Pain Syndrome (CPPS) have a significant impact on men and women of reproductive and nonreproductive age, with a considerable burden on overall quality of life (QoL) and on psychological, functional, and behavioural status. Moreover, diagnostic and therapeutic difficulties are remarkable features in many patients. Therefore evaluation, assessment and objectivation tools are often necessary to properly address each patient and consequently his/her clinical needs. Here we review the different tools for pain assessment, evaluation, and objectivation; specific features regarding CPP/CPPS will be highlighted. Also, recent findings disclosed with neuroimaging investigations will be reviewed as they provide new insights into CPP/CPPS pathophysiology and may serve as a tool for CPP assessment and objectivation.
摘要
慢性盆腔疼痛（CPP）和慢性盆腔疼痛综合征（CPPS）对育龄和非育龄男性及女性均有显著影响，给整体生活质量（QoL）以及心理、功能和行为状态带来相当大的负担。此外，诊断和治疗困难是许多患者的显著特征。因此，评估、评定和客观化工具对于妥善处理每位患者及其临床需求往往是必要的。在此，我们综述了用于疼痛评估、评定和客观化的不同工具；将重点介绍与CPP/CPPS相关的具体特征。此外，还将综述神经影像学研究揭示的最新发现，因为它们为CPP/CPPS的病理生理学提供了新的见解，并且可能作为CPP评估和客观化的一种工具。
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