腹腔镜在慢性盆腔痛诊治中的应用价值
Value of laparoscopy in diagnosis and treatment of chronic pelvic pain
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摘要: 目的:探讨腹腔镜在慢性盆腔痛(chronic pelvic pain,CPP)诊治中的临床价值。方法:对126例CPP患者行腹腔镜检查,并同时给予相应治疗。结果:腹腔镜检查盆腔病变有子宫内膜异位症58例,慢性盆腔炎36例,盆腔粘连13例,盆腔静脉淤血综合征9例,其他病变7例,镜下未见盆腔器官异常者3例。结论:CPP病因复杂,临床确诊困难,腹腔镜基本上可以明确CPP的病因,并能同时进行治疗,为CPP诊治的首选手段。Abstract: Objective: To assess the value of laparoscopy in diagnosis and treatment of chronic pelvic pain (CPP).Methods: One hundred and twenty six patients with CPP were examined and treated by laproscopy.Results: Of the 126 cases,58 had endometriosis,36 chronic pelvic inflammatory disease,13 pelvic adhesions,9 pelvic venous congestion syndrome and 7 other diseases;3 cases had no found abnormal under laparoscopy.Conclusions: As the causes of CPP are complicated,it is difficult to make diagnosis.Laparoscopy is capable of defining the causes of most CPP and providing treatment at the same time,and the first choice for diagnosis and treatment of CPP.