腹腔镜技术对绝育术后盆腔痛诊治研究

A Clinical Study on Diagnosis and Treatment of Pelvic Pain after Sterilization bv Laparoscopy.

本研究应用腹腔镜技术对401例绝育术后慢性盆腔痛患者进行了临床研究。401例绝育中输卵管结扎371例,包括盆腔炎症151例、大网膜粘连53例、盆腔粘连23例、盆腔淤血症32例、子宫内膜异位症12例、无病变而盆腔痛者98例和输卵管远端扭曲2例;输卵管药物粘堵绝育30例,包括输卵管炎9例、输卵管与周围组织粘连12例和未发现病变者9例。本研究对各种病变在腹腔镜下的特点进行了分析讨论,为确定诊断及治疗提供了依据。

To investigate the causes of pelvic pain after sterilization, 401 cases were examined with laparoscopy. Among the 401 cases 371 were sterilized by tubal ligation . The following causes of pelvic pain were found: 151 cases of pelvic inflammation, 53 cases of omental adhesion, 23 cases of pelvic adhesion, 32 cases of pelvic congestion, 12 cases of endometriosis and 2 cases of twisting of tube in the distal pact. No obvious pathology was found in 98 cases of pain. . Thirty cases were sterilized by obstructive-drug among which 9 cases of salpingitis, . and 12 cases of adhesion were found. In 9 cases of pain no pathology was found. The pathologic features under laparoscopy were discussed in the paper. It is important for diagnosis of pelvic pain after sterilization.