清醒状态下的疼痛定位
Conscious pain mapping.
作者信息
Almeida O D, Val-Gallas J M
机构信息
Department of Obstetrics and Gynecology, University of South Alabama College of Medicine, Mobile, Alabama, USA.
出版信息
J Am Assoc Gynecol Laparosc. 1997 Nov;4(5):587-90. doi: 10.1016/s1074-3804(05)80093-3.
STUDY OBJECTIVE
To present the technique and usefulness of conscious pain mapping.
DESIGN
Prospective, observational study (Canadian Task Force classification II-2).
SETTING
Gynecology departments of a university-affiliated hospital and a private community hospital.
PATIENTS
Fifty consecutive women undergoing diagnostic microlaparoscopy.
INTERVENTIONS
Conscious pain mapping was performed in all 50 women.
MEASUREMENTS AND MAIN RESULTS
Conscious pain mapping helped to identify foci of chronic pelvic pain. The appendix and pelvic adhesions accounted for a significant amount of pelvic pain in these women.
CONCLUSIONS
Conscious pain mapping helps to uncover sites of pelvic pain that might not be identified during traditional laparoscopy under general anesthesia.
研究目的
介绍清醒状态下疼痛定位的技术及效用。
设计
前瞻性观察性研究（加拿大工作组分类II - 2）。
地点
一所大学附属医院和一家私立社区医院的妇科。
患者
连续50例接受诊断性微腹腔镜检查的女性。
干预措施
对所有50名女性进行清醒状态下疼痛定位。
测量指标及主要结果
清醒状态下疼痛定位有助于识别慢性盆腔疼痛的病灶。阑尾及盆腔粘连在这些女性的盆腔疼痛中占相当比例。
结论
清醒状态下疼痛定位有助于发现全身麻醉下传统腹腔镜检查时可能无法识别的盆腔疼痛部位。
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