Porpora M G, Gomel V
Second Institute of Obstetrics and Gynaecology, University La Sapienza, Rome, Italy.
Fertil Steril. 1997 Nov;68(5):765-79. doi: 10.1016/s0015-0282(97)00192-1.
To review the diagnostic and therapeutic roles of laparoscopy in women of reproductive age with acute and chronic pelvic pain.
Studies relating to the use of laparoscopy in women with acute and chronic pelvic pain were identified through the literature and MEDLINE searches.
CONCLUSION(S): Laparoscopy has an important place in the management of conditions that cause acute pelvic pain in women of reproductive age, including ectopic pregnancy, pelvic inflammatory disease, tubo-ovarian abscess, and adnexal torsion. The procedure frequently facilitates the diagnosis and provides the necessary access for surgical treatment. Prompt diagnosis and effective management prevent complications and help preserve fertility. The role of laparoscopy in women with chronic pelvic pain is more controversial and limited, but abnormal laparoscopic findings are detected in approximately 60% of those who have undergone a multidisciplinary investigation and received a tentative clinical diagnosis. The access provided by laparoscopy permits the effective surgical treatment of many of the conditions encountered, including endometriosis, pelvic adhesions, ovarian lesions, and symptomatic uterine retroversion.
回顾腹腔镜检查在育龄期急性和慢性盆腔疼痛女性中的诊断和治疗作用。
通过文献检索和医学文献数据库检索，确定了与腹腔镜检查在急性和慢性盆腔疼痛女性中的应用相关的研究。
腹腔镜检查在育龄期女性急性盆腔疼痛病因的管理中具有重要地位，包括异位妊娠、盆腔炎性疾病、输卵管卵巢脓肿和附件扭转。该手术常常有助于诊断，并为手术治疗提供必要的途径。及时诊断和有效管理可预防并发症并有助于保留生育能力。腹腔镜检查在慢性盆腔疼痛女性中的作用更具争议性且有限，但在接受多学科检查并获得初步临床诊断的患者中，约60%可发现异常的腹腔镜检查结果。腹腔镜检查提供的途径允许对许多所遇病情进行有效的手术治疗，包括子宫内膜异位症、盆腔粘连、卵巢病变和有症状的子宫后倾。
