Department of Diagnostic and Interventional Radiology, Moffitt Cancer Center, Tampa, Florida; Department of Medical Oncology, University of South Florida, Tampa, Florida.
Semin Ultrasound CT MR. 2023 Dec;44(6):501-510. doi: 10.1053/j.sult.2023.10.006. Epub 2023 Oct 23.
Chronic pelvic pain (CPP) in women is not uncommon, and it may be difficult to identify the exact cause difficult to manage. It is major health problem for women that affects the quality of their daily lives. The etiology of chronic pelvic pain may be of gynecological or non-gynecological origin and associated with several predisposing and precipitating factors. Psychological and social factors also contribute to the syndrome of CPP and must be evaluated before managing these patients. Due to multifactorial etiology, CPP needs a multidisciplinary approach for diagnosis and management. A detailed history and physical examination supported by appropriate laboratory tests and imaging are the keys to diagnosis. In this paper, the role of imaging in diagnosis and management of CPP is reviewed. Imaging findings should be correlated with detailed clinical examination findings as there are imaging findings that may be unrelated and not the cause of CPP in a particular patient, imaging findings should be correlated with the clinical circumstances.
女性慢性盆腔痛并不少见，且可能难以明确病因，难以处理。这是影响女性生活质量的一个主要健康问题。慢性盆腔痛的病因可能源于妇科或非妇科，与多种诱发和促成因素相关。心理和社会因素也促成慢性盆腔痛综合征，在治疗这些患者前必须对其进行评估。由于病因多因素，慢性盆腔痛需要多学科方法进行诊断和治疗。详细的病史和体格检查，辅以适当的实验室检查和影像学检查，是诊断的关键。本文回顾了影像学在慢性盆腔痛诊断和治疗中的作用。影像学发现应与详细的临床检查结果相关，因为有些影像学发现可能与特定患者的慢性盆腔痛无关，也不是病因，影像学发现应与临床情况相关。
