Duffy S
School of Medicine, Division of Obstetrics and Gynecology, St James's University Hospital, Leeds, UK.
Int J Gynaecol Obstet. 2001 Sep;74 Suppl 1:S3-S7. doi: 10.1016/S0020-7292(01)00458-1.
To define the scope of the problems associated with chronic pelvic pain (CPP) and optimize management.
Clinical trial results and healthcare utilization data from the literature were reviewed.
Recent evidence suggests that a large percentage of women experience CPP. While no etiology tends to be found in the majority of these women, the annual cost for diagnosing and treating CPP seems considerable. The management of patients with negative laparoscopies constitutes a clinical challenge. While surgical and medical therapy have a role in CPP, there appears to be no 100% effective cure.
There is no consensus on management of patients with no visible pathology and chronic pelvic pain. Physicians should select a treatment for CPP that will be the least complicated and least risky and will deliver speedy symptomatic relief.
明确与慢性盆腔疼痛（CPP）相关问题的范围并优化管理。
回顾文献中的临床试验结果和医疗利用数据。
近期证据表明，很大比例的女性经历过慢性盆腔疼痛。虽然大多数此类女性未发现病因，但诊断和治疗慢性盆腔疼痛的年度费用似乎相当可观。腹腔镜检查结果为阴性的患者的管理构成了一项临床挑战。虽然手术和药物治疗在慢性盆腔疼痛中发挥作用，但似乎不存在100%有效的治愈方法。
对于无明显病理改变的慢性盆腔疼痛患者的管理尚无共识。医生应为慢性盆腔疼痛选择并发症最少、风险最小且能迅速缓解症状的治疗方法。
