青春期女性慢性盆腔疼痛。诊断性腹腔镜检查与超声检查。

Chronic pelvic pain in adolescent women. Diagnostic laparoscopy and ultrasonography.

作者信息

Ozaksit G, Caglar T, Zorlu C G, Cobanoglu O, Cicek N, Batioglu S, Gökmen O

机构信息

Gynecologic Endocrinology and Infertility Department, Dr. Zekai Tahir Burak Women's Hospital, Ankara, Turkey.

出版信息

J Reprod Med. 1995 Jul;40(7):500-2.

PMID:7473437

Abstract

OBJECTIVE

To evaluate the correlation of preoperative pelvic examination and ultrasonography with the laparoscopic findings in 45 adolescent women with chronic pelvic pain.

STUDY DESIGN

Between January 1, 1989, and December 31, 1992, 45 adolescent women underwent diagnostic laparoscopy following a detailed clinical workup for evaluation of chronic pelvic pain.

RESULTS

Thirty-five of 45 pelvic examination findings correlated with the laparoscopic findings. The predictive values of normal and abnormal findings at pelvic examination were 42.8% and 93.5%, respectively. Ultrasonography (US) correlated with laparoscopy in 39 of 45 cases. The predictive value of normal findings at US was 60%, and that of abnormal findings was 94.2%. When both pelvic examination and US were normal, 50% of cases were abnormal at laparoscopy. However, laparoscopy revealed abnormality in 100% of patients with abnormal pelvic examinations and abnormal US findings.

CONCLUSION

Clinical evaluation of chronic pelvic pain, when combined with US, is highly predictive but needs confirmation, best provided by laparoscopy.

摘要

目的

评估45例慢性盆腔疼痛青少年女性术前盆腔检查及超声检查结果与腹腔镜检查结果之间的相关性。

研究设计

1989年1月1日至1992年12月31日期间，45例青少年女性在经过详细的临床检查以评估慢性盆腔疼痛后接受了诊断性腹腔镜检查。

结果

45例盆腔检查结果中的35例与腹腔镜检查结果相关。盆腔检查正常及异常结果的预测值分别为42.8%和93.5%。45例中有39例超声检查结果与腹腔镜检查结果相关。超声检查正常结果的预测值为60%，异常结果的预测值为94.2%。当盆腔检查和超声检查均正常时，50%的病例在腹腔镜检查时显示异常。然而，腹腔镜检查显示，盆腔检查异常且超声检查结果异常的患者中有100%存在异常情况。