女性慢性盆腔疼痛与盆底解剖相关性研究  

Female chronic pelvic pain and pelvic floor anatomy correlation studies

作　　者：刘国庆[1] 李杰荣[1] 张世林[1] 李春景[1] 谢旭敏[1] 

机构地区：[1]南方医科大学附属佛山妇幼保健院泌尿外科,广东省佛山528000

出　　处：《中国医师杂志》2017年第3期345-348,共4页Journal of Chinese Physician

摘　　要：目的探讨女性慢性盆腔疼痛与盆底解剖相关性。方法临床诊断慢性盆腔疼痛患者179例，年龄28～67（49．4±7．53）岁；病史8个月至9年，平均（2．8±1．76）年；167例有生育史，43例有盆部与会阴手术史，其中妇科手术3l例、泌尿手术7例、肛肠手术5例，采取数字疼痛评分法，通过棉签或指压检查计数盆腔痛点分布状况，分析盆底损伤范围及程度与盆底解剖之间的关系。结果30～60岁为女性盆腔疼痛高发年龄（发病率54．8％），93．3％有生育史，24．0％有手术史，肌筋膜组织痛点密度高于器官，分别为87．4％VS12．6％（P〈0．01），前盆疼痛密度高于后盆，分别为65．6％V821．8％（P〈0．01）。结论慢性盆腔疼痛与女性盆底解剖及生理特殊性相关，会阴、尿生殖膈及前盆支持组织的原发性损伤与慢性炎症可能是慢性盆腔疼痛发生的重要原因。Objective To discuss the correlation between female chronic pelvic pain and pelvic floor anatomy. Methods The female patients of chronic pelvic pain 179 cases, age 28 - 67 years, average 49.4 years ; pelvic pain history 8 months - 9 years, average 2. 8 years ; 167 cases has childbirth history, 43 cases has surgery history, which gynecological surgery 31 cases, and urinary surgery 7 cases, and anus surgery 5 cases. Results High incidence of female pelvic pain were 30 - 60 age （ incidence of 54. 8% ）, 93.3% has birth history, 24% has operation history, the myofascial tissue pain higher than the organ, were 87.4% than 12. 6% （P 〈 0.01 ）, the front of pelvic pain higher than back, were 65.6% than 21.8% （P 〈 0. 01 ）. Conclusions Female chronic pelvic pain associated with the particularity of the pelvic anatomy and physiological, with the tissue of pelvic floor and urogenital diaphragm of primary injure and chronic inflammation is an important cause of chronic pelvic pain.

关 键 词：骨盆痛/病因学 骨盆底/解剖学和组织学 

分 类 号：R711.5[医药卫生—妇产科学]