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在特别考虑子宫内膜异位症的情况下,女性慢性盆腔疼痛的理解与管理方面的最新进展。

Recent advances in understanding and managing chronic pelvic pain in women with special consideration to endometriosis.

作者信息

Ball Elizabeth, Khan Khalid S

机构信息

Department of Obstetrics and Gynaecology, The Royal London Hospital, Barts Health NHS Trust, London, UK.

Women's Health Research Unit, Yvonne Carter Building, Queen Mary University of London, London, UK.

出版信息

F1000Res. 2020 Feb 4;9. doi: 10.12688/f1000research.20750.1. eCollection 2020.

Abstract

Chronic pelvic pain (CPP) in women is defined variably, but for clinical use it is cyclical or non-cyclical pain of at least 3-6 months' duration. It has major impacts on individuals and society. There are both structural and idiopathic causes. Whereas CPP is not curable in many cases, it is treatable. The most promising approach is multidisciplinary patient-centered care including cause-directed therapy, lifestyle changes, talking therapies, meditation, acupuncture, and physiotherapy (this is not a complete list). One of the most common structural causes for CPP is endometriosis. This review investigates current scientific concepts and recent innovations in this field as well as for CPP in general.

摘要

女性慢性盆腔疼痛(CPP)的定义不一,但在临床应用中,它是指持续至少3至6个月的周期性或非周期性疼痛。它对个人和社会都有重大影响。其病因既有结构性的,也有特发性的。虽然在许多情况下CPP无法治愈,但可以进行治疗。最有前景的方法是以患者为中心的多学科护理,包括针对病因的治疗、生活方式改变、谈话疗法、冥想、针灸和物理治疗(这并非完整列表)。CPP最常见的结构性病因之一是子宫内膜异位症。本综述研究了该领域以及一般CPP领域的当前科学概念和最新创新。

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