一例产后盆底肌筋膜疼痛综合征患者的病例分享  

Postpartum myofascial pelvic pain syndrome:a case report

作　　者：周玲 刘姣 蒋惠瑜 梁开如 李菊惠 Zhou Ling;Liu Jiao;Jiang Hui-yu;Liang Kai-ru;Li Ju-hui(Donghai Maternity and Child Healthcare Hospital,Donghai 222300,Jiangsu,China;Meishan Maternity and Child Healthcare Hospital,Meishan 620000,Sichuan,China;The Second Affiliated Hospital of Hainan Medical College,Haikou 570311,China)

机构地区：[1]东海县妇幼保健院,江苏东海222300 [2]眉山市妇幼保健院,四川眉山620000 [3]海南医学院第二附属医院,海南海口570311

出　　处：《四川生理科学杂志》2024年第5期1007-1010,共4页Sichuan Journal of Physiological Sciences

摘　　要：目的:盆底肌筋膜疼痛综合征(Myofascial pelvic pain syndrome,MPPS)通常起病隐匿,易延误治疗;且常表现为隐私部位疼痛和性交痛,患者羞于就诊,严重影响身心健康。现分享一例产后MPPS患者的诊疗经过,以期引起同行对此类患者的关注。结论:加强盆底康复的健康宣教,可以增加患者对MPPS的了解,消除或减轻就诊前的顾虑。在妇科检查中常规的加入阴道手指检查筛查盆底肌筋膜触发点(Myofascial Trigger Points,MTrPs)可以把MPPS的诊断提前到患者没有自觉症状或者仅隐约有症状的时候。Objective:Myofascial pelvic pain syndrome(MPPS)usually has a hidden onset and is easy to delay treatment;and often manifests as pain in the private part and dyspareunia,which the patient is ashamed to consult the doctor about,which seriously affects patients'physical and mental health.We would like to share the diagnosis and treatment of a patient with postpartum MPPS to draw the attention of our colleagues to these patients.Conclusion:Strengthening health education on pelvic floor rehabilitation can increase patients'awareness of MPPS and eliminate or reduce their worries before consultation.In gynecological examinations,routine vaginal examination with a finger is normal,which is looking for MTrPs to advance the time of MPPS diagnosis to patients who have no or fewer symptoms.

关 键 词：盆底肌筋膜疼痛综合征 性交痛 盆底康复 健康宣教 

分 类 号：R714[医药卫生—妇产科学]