妇科慢性盆腔痛腹腔镜诊治156例临床分析  

The Clinical Analysis of Using Laparoscopy to Diagnose and Treatment 156 Cases with Chronic Pelvic Pain

作　　者：王赛莉[1] 陈琰[1] 房彩平[1] 孙静[1] 

机构地区：[1]南京中医药大学附属泰州市中医院,江苏泰州225300

出　　处：《吉林医学》2014年第10期2059-2061,共3页Jilin Medical Journal

摘　　要：目的:探讨腹腔镜在妇科慢性盆腔痛诊治中的临床应用。方法:对156例收治的CPP患者行腹腔镜治疗后回顾性分析。结果:156例患者均成功实施腹腔镜手术,镜下证实病变为144例占92.30%,12例镜下未发现病理改变。导致女性慢性盆腔痛的主要病因为子宫内膜异位症52例,占33.33%,盆腔炎性疾病37例,占23.72%,盆腔粘连26例,占16.67%,子宫腺肌症25例,占16.03%,盆腔淤血综合征3例,占1.92%,盆腔结核1例,占0.64%。结论:妇科性慢性盆腔痛病因复杂,腹腔镜手术能明确病因,术中予以干预,术后针对病因相应治疗,提高了治疗的有效率,避免了治疗的盲目性,值得临床广泛应用。Objective To explore the clinical practice in the treatment of peritoneoseope on Gynecologic chronic pelvic pain （CPP）. Method To make a review analysis of 156 CPP patients after their treatment with peritoneoseope. Results 156 patients all received abdominal cavity operation successfully,during which 144 patients showed pathological change, accounting for 92. 30% , and 12 patients did not have any pathological change. The main reasons for CPP were various,including endometrlosis,which had 52 cases and occupied 33.33% , pelvic infection,which had 37 cases making up 23. 72% , pelvic adhesions, with 26 cases accounting for 16. 67% , adenomyosis of uterus, with 25 cases making up 16. 03% , pelvic congestion syndrome, which had 3 cases and made up 1.92% , and pelvic tuberculosis with only 1 case making up 0.64%. Conclusion There are various reasons for CPP. Through laparoscopic surgery we can find out the specific reason, interfere during the operation and give proper treatment according to the specific reason after the operation, thus increasing the efficiency of treatment and avoiding blind treatment. So it is worthy of a wide range of clinical practice.

关 键 词：腹腔镜 妇科慢性盆腔痛 

分 类 号：R711[医药卫生—妇产科学]