摘要
目的:探讨女性慢性盆腔痛的病因、发病率以及治疗方法。方法:2011年1月—2013年1月在我院妇科门诊就诊的慢性盆腔痛患者511例进行回顾性分析。结果:3 119例普通妇科疾病患者中,慢性盆腔痛就诊者511例,占16.4%。511例中与妇科相关的疾病依次为:盆腔炎性疾病194例,占38.0%;子宫内膜异位症及子宫腺肌病131例,占25.6%;妇科盆腔术后粘连性疼痛31例,占6.1%;节育术后31例,占6.1%;盆腔淤血综合征13例,占2.5%。非妇科疾病引起的慢性盆腔痛依次为:泌尿系疾病38例,占7.4%;肌肉骨骼痛26例,占5.1%;肠易激惹综合征及结肠炎13例,占2.5%。病因不确定者占6.7%。采用综合治疗,半年后随访,治愈126例(24.7%),显效265例(51.9%),有效89例(17.4%),无效31例(6.0%)。结论:慢性盆腔痛病因多种多样、病情反复发作、时重时轻,就诊时应详细询问病史,全面完整地体检,必要时采用腹腔镜确诊及治疗。治疗方面采用抗炎、止痛、缓解症状、结合物理治疗和心理治疗以提高治愈率。
Objective：To explore the etiology, incidence and treatment of chronic pelvic pain in women in Qinghai area. Methods： A total of 511 chronic pelvic pain women medical records, which are collected from Jan 2011 to Jan 2013 in our hospital, were analyzed retrospectively. Results： In the 511 eases, gynecological diseases were in order of 194 cases （38.0%） Pelvic inflammation, 131 cases （25.6%） for endometriosis and uterine glan- dular myopathy, 31 cases （6.1%） for adhesions pain after gynecological pelvic operation. Some diseases - in- duced - other diseases but gynecology were in order of 38 cases （7.4%） urinary tract disease, 26 （5.1%） mus- euloskeletal pain. Followed up of six months after general treatment, 126 of 511 cases were cured （24.7%） ; 265 cases（51.9% ） had good improvement; 89 cases（ 17.4% ） improved, and without effect of 31 cases（6.0% ）. Con- clusions：Etiological diagnosis of chronic pelvic pain is difficult due to its variety of reasons. Detail visitation and examination are important as a gynecologist; the laboratory check - up is available for diagnosis and treatment, so maybe, there is an effective outcome.
出处
《青海医药杂志》
2013年第10期1-3,共3页
Qinghai Medical Journal
