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目的通过腹腔镜探查,探讨慢性盆腔痛(CPP)的各种常见病因及其临床特征和治疗方法。方法对2005年1月至2010年7月收治的经腹腔镜治疗的86例CPP病例进行回顾性分析。结果均成功行腹腔镜诊治,术后证实有盆腔病变70例(81.4%),病因为慢性盆腔炎、子宫内膜异位症、盆腔粘连和盆腔淤血症,另16例未发现盆腔异常。治疗有效率由高到低依次为子宫内膜异位症、慢性盆腔炎、盆腔粘连、盆腔淤血综合症及正常盆腔,总有效率达76.7%。结论 CPP病因复杂,腹腔镜可为CPP的诊断提供有利的证据,成为目前诊断CPP的金标准,同时还可进行有效的治疗。
Objective To explore various common causes of chronic pelvic pain (CPP) and their clinical characteristics and treatment by laparoscopy. Methods From January 2005 to July 2010, 86 cases of CPP treated by laparoscopy were retrospectively analyzed. The results were successfully laparoscopic diagnosis and treatment of pelvic lesions confirmed 70 cases (81.4%), the cause of chronic pelvic inflammatory disease, endometriosis, pelvic adhesions and pelvic congestion disease, the other 16 cases found no pelvic abnormalities. The treatment efficiency from high to low endometriosis, chronic pelvic inflammatory disease, pelvic adhesions, pelvic congestion syndrome and normal pelvic, the total effective rate was 76.7%. Conclusions The causes of CPP are complicated. Laparoscopy can provide favorable evidence for the diagnosis of CPP and become the gold standard for the diagnosis of CPP. At the same time, it can be effectively treated.