Dubin Andrew
Department of Physical Medicine and Rehabilitation, Albany Medical College, New Scotland Avenue, Albany, NY 12208, USA.
Phys Med Rehabil Clin N Am. 2018 Nov;29(4):777-782. doi: 10.1016/j.pmr.2018.06.011. Epub 2018 Aug 3.
Chronic pelvic pain is a common condition. Establishing a diagnosis can be complicated by the interplay between various organ systems, including urologic, gynecologic, gastrointestinal, neurologic, endocrinological, psychological, and musculoskeletal. Frequently, the patient will have seen multiple providers and undergone multiple tests, as well as invasive procedures, before the musculoskeletal system is even considered in the differential diagnosis. Typically, the musculoskeletal and nervous systems become suspected culprits only once all other potential etiologies have been eliminated.
慢性盆腔疼痛是一种常见病症。由于包括泌尿系统、妇科、胃肠道、神经、内分泌、心理和肌肉骨骼等多个器官系统之间的相互作用,确立诊断可能会很复杂。通常,在鉴别诊断中甚至还未考虑肌肉骨骼系统之前,患者就已经看过多个医疗服务提供者,接受过多次检查以及侵入性操作。一般来说,只有在排除了所有其他潜在病因之后,肌肉骨骼系统和神经系统才会被怀疑是罪魁祸首。