慢性盆腔痛腹腔镜诊治探讨

Laparoscope Diagnosis and Treatment to Chronic Pelvic Cavity Pain(CPP)

[目的]探讨腹腔镜在慢性盆腔痛(CPP)中的诊断治疗作用。[方法]回顾性分析使用腹腔镜进行诊治的80例慢性盆腔痛患者的病理改变、治疗方法及临床疗效。[结果]85.00%(68/80)的CPP患者在腹腔镜使用下明确了其病理改变,子宫内膜异位症(37.5%)、慢性盆腔炎(27.5%)、盆腔粘连(12.5%)是CPP的主要病理改变,占总病例的77.50%(62/80)。[结论 ]腹腔镜是明确慢性盆腔痛病理病因的一种快速、有效、优选的方法,能提高慢性盆腔痛诊治的确诊率和有效率。

[Objective] To explore the cure effect of laparoscope on CPP. [Method] Trace back and analyse the pathological change, treatment and clinical effect of 80 cases of CPP treated with laparoscope. [Result] 85.00% had definite pathological changes; endometriosis （37.5%）,chronic pelvic inflammation （ 27.5 % ）, pelvic adhesion （ 12.5% ） were the main pathological changes of CPP, occupying 77.5% （62/80） of total cases. [ Conclusion ] Laparoscope is a quick, effective and optimized method for defining the cansa morbi of chronic pelvic cavity pain, and can improve diagnosis rate and effective rate of CPP.