Kontoravdis A, Chryssikopoulos A, Hassiakos D, Liapis A, Zourlas P A
Second Department of Obstetrics and Gynaecology, University of Athens, Greece.
Int J Gynaecol Obstet. 1996 Mar;52(3):243-8. doi: 10.1016/0020-7292(95)02611-8.
To discriminate the etiology in 2365 patients with acute and chronic pelvic pain (APP, CPP).
Diagnostic laparoscopy was carried out in 736 patients (31.1%) with APP and in 1629 (68.9%) with CPP. In 315 patients (13.3%) the diagnostic procedure was extended to operative laparoscopy.
The most frequent laparoscopic findings in patients with APP were acute salpingitis and pelvic adhesions (22.8%) and ectopic pregnancy (19%), while in patients with CPP the most frequent findings were pelvic adhesions (35.4%) and endometriosis (24.6%). In 7.5% of patients with APP and 24% with CPP, laparoscopy did not reveal any pathological finding in the pelvis. Among the 315 patients in whom operative laparoscopy was carried out, 40% suffered from APP and 60% from CPP. In the 446 patients (18.9%) without laparoscopic findings no treatment was given, while of the remaining 905 patients 40% were subjected to laparotomy and 60% received conservative treatment. The total incidence of side effects reached 4.7% and serious side effects resulting from emergency laparotomy occurred in 0.15% of patients with pelvic pain.
Our results in a large group of patients with pelvic pain show that there are discrepancies in the incidence of laparoscopic findings between patients with APP and CPP. Discrepancies between the two groups of patients were also found during operative laparoscopy, the treatment administered after laparoscopic diagnosis and the complications encountered.
鉴别2365例急慢性盆腔疼痛（APP、CPP）患者的病因。
对736例（31.1%）APP患者和1629例（68.9%）CPP患者进行诊断性腹腔镜检查。315例（13.3%）患者的诊断程序扩展为手术性腹腔镜检查。
APP患者最常见的腹腔镜检查结果是急性输卵管炎和盆腔粘连（22.8%）以及异位妊娠（19%），而CPP患者最常见的结果是盆腔粘连（35.4%）和子宫内膜异位症（24.6%）。7.5%的APP患者和24%的CPP患者腹腔镜检查未发现盆腔有任何病理改变。在进行手术性腹腔镜检查的315例患者中，40%患有APP，60%患有CPP。在446例（18.9%）无腹腔镜检查结果的患者中未给予治疗，而其余905例患者中，40%接受了剖腹手术，60%接受了保守治疗。副作用的总发生率为4.7%，因急诊剖腹手术导致的严重副作用发生在0.15%的盆腔疼痛患者中。
我们在一大组盆腔疼痛患者中的研究结果表明，APP患者和CPP患者腹腔镜检查结果的发生率存在差异。在手术性腹腔镜检查、腹腔镜诊断后给予的治疗以及所遇到的并发症方面，两组患者之间也存在差异。
