慢性盆腔痛的诊断与治疗
摘要
慢性盆腔痛被定义为持续时间超过6个月的疼痛,局限于盆腔,且疼痛严重到引起功能失调或需要医疗干预。其发病率在不同地区和人群中差别很大。2006年WHO的一项荟萃分析显示非周期性慢性盆腔痛的发病率为2.1%~24%。慢性盆腔痛的起因常不明显,也不伴有发热、白细胞增多等炎症或感染的体征,它以生理、情绪和行为反应为特点,常伴有焦虑和抑郁,可影响其婚姻、社会和职业生活。
出处
《中国医刊》
CAS
2009年第7期9-11,共3页
Chinese Journal of Medicine
参考文献17
-
1Howard FM. Chronic pelvic pain[J]. Obstet Gynecol, 2003, 101: 594 -611.
-
2ACOG Committee on Practice Bulletins. ACOG Practice Bulletin. No. 51 [J]. Obstet Gynecol, 2004, 103:589 -605.
-
3Latthe P, Latthe M, Say L, et al. WHO systematic review of prevalence of chronic pelvic pain : a neglected reproductive health morbidity[J]. BMC Public Health, 2006, 6: 177.
-
4Srinivasan R, Greenbaum DS. Chronic abdominal wall pain: a frequently overlooked problem. Practical approach to diagnosis and management [ J ]. Am J Gastroenterol, 2002, 97: 3207.
-
5Howard FM. Chronic pelvic pain[J]. Obstet Gynecol, 2003, 101: 594 -611.
-
6Szendei G, Hemadi Z, Devenyi N, et al. Is there any correlation between stages of endometriosis and severity of chronic pelvic pain? Possibilities of treatment. Gynecol Endocrinol, 2005, 21 : 93 - 100.
-
7王巍,冷金花,郎景和,刘珠凤,孙大为,朱兰,樊庆泊.子宫内膜异位症慢性盆腔痛与盆腔病变特点分析[J].中国实用妇科与产科杂志,2006,22(4):274-276. 被引量:15
-
8Swank DJ, Swank-Bordewijk SC, Hop WC, et al. Laparoscopic adhesiolysis in patients with chronic abdominal pain: a blinded randomised controlled multi-centre trial [ J]. Lancet, 2003, 361 1247 - 1251.
-
9Stones RW, Cheong YC, Horward F. Interventions for treating chronic pelvic pain [ J ]. Cochrane Database of Systematic Reviews, 2005, 4: 387.
-
10Advincula AP. Ovarian remnant syndrome[ J]. Postgrad Obstet Gy- necol, 2004, 24:1 -6.
二级参考文献18
-
1Zondervan KT,Yudkin PL,Vessey MP,et al.Prevalence and incidence in primary care of chronic pelvic pain in women:evidence from a national general practice database[J].Br J Obstet Gynecol,1999,106 (11):1149-1155.
-
2Howard FM.The role of laparoscopy in chronic pelvic pain:promise and pitfalls[J].Obstet Gynecol Surv,1993,48 (6):357-387.
-
3Kresch AJ,Seifer DB,Sachs LB,et al.Laparoscopy in 100women with chronic pelvic pain[J].Obstet Gynecol,1984,64(5):672-674.
-
4Whiteside JL,Falcone T.Endometriosis-related pelvic pain:what is the evidence?[J].Clin Obstet Gynecol,2003,46(4):824-830.
-
5Vercellini P,Trespidi L,De Giordi O,et al.Endometriosis and pelvic pain:relation to disease stage and localization[J].Fertil Steril,1996,65 (2):299-304.
-
6Porpora MG,Koninckx PR,Piazze J,et al.Correlation between endometriosis and pelvic pain[J].J Am Assoc Gynecol Laparosc,1999,6 (4):429-434.
-
7Lopes P,Mensier A,Laurent FX,et al.Pelvic pain and endometriosis[J].Rev Fr Gynecol Obstet,1995,90 (2):77-83.
-
8Cornillie FJ,Oosterlynck D,Lauweryns JM,et al.Deeply infiltrating pelvic endometriosis:histology and clinical significance[J].Fertil Steril,1990,53 (6):978-983.
-
9Vercellini P,Bocciolone L,Vendola N,et al.Peritoneal endometriosis:morphologic appearance in women with chronic pelvic pain[J].J Reprod Med,1991,36 (7):533-536.
-
10Redwine DB.Age-related evolution in color appearance of endometriosis[J].Fertil Steril,1987,48 (6):1062-1063.
共引文献15
-
1刘庆云.妇科慢性盆腔痛的病因及治疗进展[J].河北医药,2007,29(6):610-611. 被引量:8
-
2张惠文.会阴子宫内膜异位症临床研究[J].中国现代医生,2008,46(3):22-23. 被引量:1
-
3曹蕾,王艳婷,王维琴.慢性盆腔疼痛的研究进展[J].内蒙古医学院学报,2008,30(4):309-312. 被引量:7
-
4张丽,王靖雯,刘宏侠,彭存旭,盛修贵.腹腔镜下子宫动脉阻断联合宫骶韧带切断术治疗子宫腺肌病临床观察[J].济宁医学院学报,2009,32(2):112-113. 被引量:1
-
5张荔,沈宇飞.子宫内膜异位症160例临床分析[J].南京医科大学学报(自然科学版),2009,29(9):1299-1301. 被引量:3
-
6杨林.子宫内膜异位症154例临床分析[J].临床医学,2010,30(1):76-77. 被引量:1
-
7张蓉艳,吴瑞瑾,林俊.卵巢子宫内膜异位症保守性手术后复发原因分析[J].浙江预防医学,2010,22(5):68-69. 被引量:5
-
8梁雪飞.妇科慢性盆腔疼痛的病因及治疗进展[J].中国临床新医学,2010,3(9):909-911. 被引量:2
-
9杨丽杰,马丽华.子宫内膜异位症231例临床分析[J].价值工程,2011,30(31):313-313. 被引量:1
-
10张伟峰,汪期明.剖宫产术后严重慢性盆腔痛28例诊治分析[J].浙江医学,2011,33(12):1811-1812. 被引量:1
-
1毕凤玲,杨秀芳,孙红霞,张宪军,孙海如.腹腔镜在慢性盆腔疼痛中的诊治价值[J].河北医学,2009,15(10):1232-1233.
-
2韩宁,张毅.腹腔镜诊治慢性盆腔痛42例临床分析[J].中国基层医药,2002,9(11):1046-1047.
-
3赵金华,姜孔娣.女性慢性盆腔痛568例临床分析[J].临床合理用药杂志,2012,5(28):143-143.
-
4郑英奇.二甲双胍干预糖耐量异常效果评价[J].实用糖尿病杂志,2008,4(3):12-13. 被引量:2
-
5徐传利,段志英.糖耐量异常患者医疗干预的疗效观察[J].食品与药品,2005,7(12A):47-48.
-
6胡海鹰,刘惠兰,薛菲,赵砚池,刘群.糖尿病肾病的社区防治[J].中国全科医学,2007,10(15):1263-1266. 被引量:6
-
7王伟民,刘小霞,曾秋莹,陈健,王敏.非医疗干预对老年人高血压治疗效果的影响[J].现代医院,2011,11(9):63-64. 被引量:5
-
8房秋菊,杨艳,贺春萍.归脾汤联合胺碘酮治疗室性期前收缩34例[J].中国中医药科技,2011,18(2):163-164. 被引量:6
-
9党宏.室性早博的临床意义[J].吉林医学,2014,35(11):2354-2355. 被引量:1
-
10周中源.医疗干预对糖耐量异常患者的疗效评价[J].临床医学,1997,17(8):28-29.