腹腔镜诊治慢性盆腔痛72例临床分析

Clinical Analysis of 72 Cases of Laparoscopic Diagnosis and Treatment of Chronic Pelvic Pain

目的评价腹腔镜诊治慢性盆腔痛的效果。方法对腹腔镜诊治的72例慢性盆腔痛的患者进行回顾分析,比较其临床表现、术中所见、腹腔镜下实施的手术及术后随访资料。结果 72例患者中,腹腔镜证实有病理改变和解剖改变的70例,占97.22%;其中,子宫内膜异位症有35例(48.61%),盆腔粘连23例(31.94%),慢性盆腔炎后遗症9例(12.50%),盆腔静脉淤血症3例(4.17%),盆腔未发现病变2例(2.78%)。术后疼痛症状完全缓解37例(51.39%),部分缓解29例(40.28%),未缓解6例(8.33%)。结论腹腔镜诊断慢性盆腔痛是一种较优越的方法,在寻找病因的同时可给予适当的治疗,值得推广使用。

Objective We sought to evaluate the effects of laparoscopy for women who suffered from chronic pelvic pain.Methods We retrospectively analysed 72 patients who underwent laparoscopy for chronic pelvic pain,and compare the clinical manifestation,the presentation during the surgery,the detailed surgery,the detailed surgery procedure and the follow-up.Results It turns out that 70 patients,taking up 97.22%,had pathologic or anatomic changed which is identified by laparoscopy.Among them,35 patents（48.61%） suffered from endometriosis,23 patients（31.94%） suffered from pelvic adhesion,9 patients（12.5%） suffered from sequelae of chronic pelvic inflammation,3 patients（4.17%） suffered pelvic hyperemia syndrome,2 patients（2.78%） had no obvious changed.37 patients（51.39%） were completely alleviated,29 patients（40.28%） were partially alleviated,6 patients（8.33%）got no alleviation.Conclusion The diagnosis and treatment of chronic pelvic pain with laparoscopy manifests much advantage,thus we advocate the wider use of laparoscopy for chronic pelvic pain.