Lamvu Georgine, Carrillo Jorge, Witzeman Kathryn, Alappattu Meryl
Division of Surgery, Gynecology Section, Veteran Affairs Medical Center, Orlando, Florida.
University of Central Florida College of Medicine, Orlando, Florida.
Semin Reprod Med. 2018 Mar;36(2):107-115. doi: 10.1055/s-0038-1676085. Epub 2018 Dec 19.
Persistent pelvic pain conditions are common and affect nearly 25% of the female U.S. population. In a sizable proportion of pelvic pain patients, the pain is caused by musculoskeletal dysfunction; yet, healthcare providers do not routinely evaluate patients for musculoskeletal etiologies. This article provides an overview of the pathophysiology of persistent pelvic pain, as it relates to musculoskeletal disorders. The symptomatology, anatomy, evaluation, and treatment of these disorders are summarized specifically for healthcare providers (including gynecologists) who do not have pelvic musculoskeletal expertise.
持续性盆腔疼痛病症很常见,影响了近25%的美国女性人口。在相当一部分盆腔疼痛患者中,疼痛是由肌肉骨骼功能障碍引起的;然而,医疗服务提供者并没有常规地对患者进行肌肉骨骼病因的评估。本文概述了与肌肉骨骼疾病相关的持续性盆腔疼痛的病理生理学。针对没有盆腔肌肉骨骼专业知识的医疗服务提供者(包括妇科医生),具体总结了这些疾病的症状、解剖结构、评估和治疗方法。