慢性盆腔痛的腹腔镜诊治

Laparoscopic diagnosis and therapy for chronic pelvic pain

目的 探讨腹腔镜在慢性盆腔痛 (CPP)诊治中的应用。方法 对 10 5例CPP患者行腹腔镜检查和治疗 ,术前均行B超检查。进行病例回顾性分析。结果 腹腔镜证实有病理改变者占 95 .2 4 % ,其中子宫内膜异位症 5 6例 ,占 5 3.33% ,治疗有效率 92 .86 % ;慢性盆腔炎 2 7例 ,占 2 5 .2 3% ,治疗有效率 88.89% ;盆腔静脉瘀血症 7例 ,占 6 .6 7% ,治疗有效率 5 7.14 % ;盆腔粘连 10例 ,占 9.5 2 % ,治疗有效率 10 0 .0 0 %。术前B超发现病理改变并经腹腔镜证实者 2 8例 ,占 2 6 .6 7% ,准确率为 2 8.0 0 %。结论 腹腔镜能够明确CPP的病因 ,并能即时检测和治疗 ,可作为CPP诊治的常规和首选手段。

Objective:To investigate the application of laparoscopy in chronic pelvic pain. Methods:Retrospective analyze clinical case of 105 chronic pelvic pain patients which were checked and treated with laparoscopy, all cases have the ultrasonography before operation.Results:It was conformation by laparoscopy that the patients with pathology alteration was 95.24%, of which endometriosis had 56 cases, the ratio was 53.33%, the efficiency of treatment was 92.86%; chronic pelvic inflammatory disease had 27 cases, the ratio was 25.23%, the efficiency of treatment was 88.89%;pelvic congestion syndrome had 7 cases, the ratio was 6.67%, the efficiency of treatment was 57.14%; the adhesion of pelvic had 10 cases, the ratio was 9.52%, the efficiency of treatment was 100%. The pathology alteration had 28 cases which were found by ultrasonography preoperation and confirmation by laparoscopy, the ratio was 26.67, the accurate rate was 28.00%.Conclusions:The laparoscopy can clear-cut the etiological factor of chronic pelvic pain, check and treat immediately, which as the routine and first method of diagnose and treatment of chronic pelvic pain.