节育术后慢性盆腔痛

Female surgical contraception and chronic pelvic pai

女性节育术后可发生慢性盆腔痛(CPP)。输卵管绝育术后CPP的主要原因有盆腔炎性疾病、大网膜粘连综合征、盆腔淤血综合征,神经官能症也是病因之一。妇科检查、影像学检查和腹腔镜检查可明确诊断;宫内节育器(IUD)放置后的CPP主要与IUD位置异常有关,X线与B超联合检查、腹腔镜检查是重要的检查方法。CPP治疗前首先要明确诊断,针对病因治疗是关键。

Chronic pelvic pain （CPP） could appear following female birth control procedures, which con- sist of tubal sterilization and intrauterine contracep- tive device （IUD）. The main causes of CPP after tubal sterilization are pelvic inflammatory disease （ PID）, omentum adhesion syndrome （ OAS）, pelvic congestion syndrome （PCS） , and neurosis as well. The diagnosis can be made by pelvic examination, medical imaging studies and laparoscopy. CPP after IUD insertion is closely related to ectopie IUD. The combination of X-ray and ultrasonography is impor- tant and useful in the diagnosis, and laparoscopy is also important in the diagnosis of severe cases. It is necessary and critical for CPP causes to be found out before the treatment.