Green Isabel C, Burnett Tatnai, Famuyide Abimbola
Department of Obstetrics and Gynecology, Mayo Clinic, Rochester, Minnesota.
Clin Obstet Gynecol. 2022 Dec 1;65(4):775-785. doi: 10.1097/GRF.0000000000000712. Epub 2022 Apr 15.
As our understanding of chronic pain conditions, including endometriosis-related pain and chronic pelvic pain evolves, the evaluation and management of patients should reflect our increasing appreciation of the role of central sensitization, comorbid conditions and biopsychosocial factors on the pain experience and treatment outcomes. This review provides a systematic approach to persistent pain in patients with endometriosis. Expanding the evaluation and treatment of endometriosis-related pain by all health care providers could limit unnecessary surgical interventions and best meet our patient's needs.
随着我们对包括子宫内膜异位症相关疼痛和慢性盆腔疼痛在内的慢性疼痛状况的理解不断发展，患者的评估和管理应体现出我们越来越认识到中枢敏化、合并症以及生物心理社会因素在疼痛体验和治疗结果中所起的作用。本综述提供了一种针对子宫内膜异位症患者持续性疼痛的系统方法。所有医疗保健提供者扩大对子宫内膜异位症相关疼痛的评估和治疗，可减少不必要的手术干预，并最大程度满足我们患者的需求。
