电视腹腔镜技术对慢性盆腔痛诊治研究

THE DIAGNOSIS AND TREATMENT OF CHRONIC PELVIC PAIN USING LAPAROSCOPY

目的：探讨慢性盆腔痛的病因和提高其治疗效果。方法：应用电视腹腔镜技术对４２例慢性盆腔痛病人进行了治疗。其中术前诊断为慢性盆腔炎者２３例，子宫内膜异位症者１９例。结果：腹腔镜检查发现术前术后诊断的总相符率为５９．５％，腹腔镜检查纠正诊断率４０．５％。在腹腔镜下行松解粘连、电凝病灶、开窗清除囊肿及切除病变输卵管等手术。术后中西医结合治疗。该组病人治疗的总有效率８５．７％。结论：腹腔镜技术对慢性盆腔痛明确诊断提供了依据。

People's Hospital of Zhuhai, Zhuhai,Guangdong 519000,P.R.ChinaThe objective of this study is to research the cause of chronic pelvic pain and to increase the level of treatment.From March 1995 to August 1997,Laparoscopy was used to examine 42 patients with chronic pelvic pain.Chronic pelvic inflammation was diagnosed in 23 cases,and endometriosis was diagnosed in the remaining 19 cases.After laparoscopy, the coincidental diagnosis rate of the two groups was 59.5%.The corrected diagnosis rate was 40.5%.Different operations were performed,including adhesion dissection,lesion electrocoagulation,window opening and cyst clearance,and salpingectomy.The total effective rate of treatment in 42 cases was 85.7%.The results suggest that laparoscopy can provide data for diagnosis and improved treatment of chronic pelvic pain.