127例慢性盆腔痛住院患者临床分析  

Clinical analysis on 127 hospitalized patients with chronic pelvic pain

作　　者：曾改鸿[1] 何锋云 蓝婉蓉 黄春红[1] 何丽敏[1] 王晓晖[1] 

机构地区：[1]广东省深圳市宝安区人民医院体检中心妇科,518101

出　　处：《中国妇幼保健》2014年第23期3749-3751,共3页Maternal and Child Health Care of China

摘　　要：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, diagnosis and treatment of chronic pelvic pain （CPP） . Methods： The clinical data of 127 hospitalized .patients with CPP were analyzed retrospectively, including medical history, laboratory examination, auxiliary exami- nation, diagnosis and treatment. Results： Among 127 hospitalized patients, 93 patients were diagnosed definitely by surgery, accounting for 73.23% ; 34 patients were diagnosed definitely by non - surgical procedure, accounting for 26.77%. The proportions of pelvic inflammatory disease, endometrial diseases, surgical factors, pelvic congestion syndrome, genital tumors, ectopic IUD, surgical diseases and depression were 30. 71% （39 patients）, 26. 77% （34 patients）, 23.62% （30 patients）, 10. 24% （13 patients）, 3.15% （4 patients）, 2. 36% （3 patients）, 2. 36% （3 patients） and 0. 79% （ 1 patient）, respectively. Conclusion： The main etiologies of CPP are gynecological diseases, including pelvic inflammatory disease, endometrial diseases, surgical factors, pelvic congestion syndrome, and so on; surgical exploration and muhidisciplinary cooperation have important significances in confirming etiologies and treatment.

关 键 词：盆腔 疼痛 分析 

分 类 号：R711[医药卫生—妇产科学]