论文部分内容阅读
目的:分析慢性盆腔痛的病因及诊治。方法:回顾性分析127例慢性盆腔痛住院患者临床资料,包括病史、实验室及辅助检查、诊治方法等。结果:手术确诊93例占73.23%,非手术确诊34例占26.77%。其中盆腔炎性疾病39例占30.71%,子宫内膜异位性疾病34例占26.77%,手术因素30例占23.62%,盆腔淤血综合征13例占10.24%,生殖系统肿瘤4例占3.15%,节育环异位3例占2.36%,外科疾病3例占2.36%,抑郁症1例占0.79%。结论:慢性盆腔痛病因主要为妇科疾病,包括盆腔炎性疾病、子宫内膜异位性疾病、手术因素及盆腔淤血综合征等;手术探查及多科合作对明确病因及治疗有重要意义。
Objective: To analyze the etiology and diagnosis and treatment of chronic pelvic pain. Methods: A retrospective analysis of 127 patients with chronic pelvic pain in hospital clinical data, including history, laboratory and laboratory examinations, diagnosis and treatment methods. Results: 93 cases were diagnosed 73.23% by operation, 34 cases were diagnosed by non-operation, accounting for 26.77%. Among them, 39 cases of pelvic inflammatory disease accounted for 30.71%, 34 cases of endometriosis 26.77%, 30 cases of surgical factors accounted for 23.62%, 13 cases of pelvic congestion syndrome accounted for 10.24%, 4 cases of reproductive system tumors accounted for 3.15% , 3 cases of ectopic pregnancy accounted for 2.36%, 3 cases of surgical diseases accounted for 2.36%, 1 case of depression accounted for 0.79%. Conclusion: The main causes of chronic pelvic pain are gynecological diseases, including pelvic inflammatory disease, endometriosis, surgical factors and pelvic congestion syndrome. Surgical exploration and multidisciplinary cooperation are of great significance for the clear etiology and treatment.