Ryder R M
Eastern Virginia Medical School, Norfolk, USA.
Am Fam Physician. 1996 Nov 15;54(7):2225-32, 2237.
Chronic pelvic pain in women may involve more than the gynecologic organ systems. Urologic, gastrointestinal, musculoskeletal and psychiatric disease processes may be contributing factors, the majority of which can be treated medically. A thorough history and physical examination are often all that is necessary to initiate effective treatment. A multidisciplinary approach to management will recognize the interactive process of the biopsychosocial model that may act to produce chronic pelvic pain.
女性慢性盆腔疼痛可能涉及多个器官系统,而非仅仅局限于妇科。泌尿系统、胃肠道、肌肉骨骼系统及精神疾病进程都可能是促成因素,其中大多数情况可以通过药物治疗。通常,详尽的病史采集和体格检查是启动有效治疗所必需的全部内容。多学科管理方法将认识到生物心理社会模型的交互过程,该过程可能导致慢性盆腔疼痛。