Wipfli-Funke A, Heidrich J, Riedel H H
Frauenklinik und Endoskopiezentrum, Städtischen Heinrich-Braun-Klinikums Zwickau.
Zentralbl Gynakol. 1995;117(2):72-6.
The report is given about 154 patients, who were operated because of chronic abdominal pain in the lower abdomen 27 (17.5%), suspicion of adhesion 43 (27.9%), of an adnexal tumor 56 (33.8%), of endometriosis 5 (3.2%), sterility 11 (10%), or irreversible contraception 16 (7.2%). 112 patients had to be laparotomized once or several times. 105 women had only adhesion; adhesion and an adnexal tumor were found in 27 patients, 22 women had adhesion and endometriosis. Predominant were adhesions of second graduation, 72 women had these adhesions, nine of 105 patients had adhesions of first graduation, adhesions of third graduation had 24 patients. In the last group there was the greatest number of laparotomies. 95 patients answered the questionnaires six months later. 35 (36.8%) were free from pain, 13 (13.8%) stated a clear improvement, 38 (40%) were temporarily free from pain, and 9 (8.2%) stated unchanged pain. One woman complained postoperatively about clear aggravation of pain.
该报告涉及154例患者，他们因下腹部慢性疼痛接受手术，其中27例（17.5%）、因怀疑粘连43例（27.9%）、附件肿瘤56例（33.8%）、子宫内膜异位症5例（3.2%）、不育11例（10%）或不可逆避孕16例（7.2%）。112例患者不得不接受一次或多次剖腹手术。105名女性仅存在粘连；27例患者同时存在粘连和附件肿瘤，22名女性同时存在粘连和子宫内膜异位症。主要是二级粘连，72名女性有此类粘连，105例患者中有9例为一级粘连，24例患者为三级粘连。在最后一组中，剖腹手术的次数最多。95例患者在六个月后回答了问卷。35例（36.8%）无疼痛，13例（13.8%）表示明显改善，38例（40%）暂时无疼痛，9例（8.2%）表示疼痛无变化。一名女性术后抱怨疼痛明显加重。
