Smith Sadie E, Eckert Jill M
Division of Pain Medicine, Department of Anesthesiology and Perioperative Medicine, Penn State Milton S. Hershey Medical Center, Hershey, Pennsylvania.
Semin Reprod Med. 2018 Mar;36(2):159-163. doi: 10.1055/s-0038-1676104. Epub 2018 Dec 19.
Chronic pelvic pain (CPP) is a recurring and/or constant pain of at least six months duration that has resulted in either functional or psychological disability that can require interventional treatments. Chronic pelvic pain can be visceral, somatic, neuropathic, or a combination. Patients with CPP often suffer from concurrent bowel or bladder dysfunction, sexual dysfunction, depression, and anxiety. The complexity of chronic pelvic pain can be challenging to treat, which can lead to frustration for both patients and their physicians. Treatment should involve a comprehensive and multi-modal approach involving psychosocial support, counseling, physical therapy, medication management, and interventional procedures. This manuscript will focus both on the etiologies and the interventional treatment options for chronic pelvic pain.
慢性盆腔疼痛（CPP）是一种持续至少六个月的反复性和/或持续性疼痛，已导致功能或心理残疾，可能需要进行介入治疗。慢性盆腔疼痛可以是内脏性、躯体性、神经性的，或多种情况并存。患有慢性盆腔疼痛的患者常并发肠道或膀胱功能障碍、性功能障碍、抑郁和焦虑。慢性盆腔疼痛的复杂性使其治疗具有挑战性，这可能会让患者及其医生都感到沮丧。治疗应采用综合多模式方法，包括心理社会支持、咨询、物理治疗、药物管理和介入程序。本手稿将重点关注慢性盆腔疼痛的病因和介入治疗选择。
